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Charis Mandujano Villagomez
Addiction (Substance Use Disorder) Counselor in Santa Rosa, California
NPI 1700420650

Charis Mandujano Villagomez is an Addiction (Substance Use Disorder) Counselor based in Santa Rosa, CA and is specialized in Addiction (Substance Use Disorder). Charis Mandujano Villagomez practices in Santa Rosa, CA. The NPI Number for Charis Mandujano Villagomez is 1700420650 and holds a License No. (California).

The current practice location address for Charis Mandujano Villagomez is 2403 Professional Dr Ste 101, Santa Rosa, CA and can be reached out via phone at 707-544-3295.

Location: 2403 Professional Dr Ste 101, Santa Rosa, CA, 95403-3007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700420650
Provider Name
Charis Mandujano Villagomez
Credential
Provider Entity Type
Individual
Gender
Female
Address
2403 Professional Dr Ste 101, Santa Rosa, CA, 95403-3007
Phone Number
707-544-3295
Fax Number
Provider Enumeration Date
11/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2403 Professional Dr Ste 101
City
Santa Rosa
State
California
Zip
95403-3007
Phone Number
707-544-3295
Fax Number
person
Provider Business Mailing Address Details
Address
2403 Professional Dr Ste 101
City
Santa Rosa
State
California
Zip
95403-3007
Phone Number
707-544-3295
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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