person
Don Lyle Severn, CI21700218(CADC1)
Addiction (Substance Use Disorder) Counselor in San Pablo, California
NPI 1841761699

Don Lyle Severn is an Addiction (Substance Use Disorder) Counselor based in San Pablo, CA and is specialized in Addiction (Substance Use Disorder). Don Lyle Severn practices in San Pablo, CA and has the professional credentials of CI21700218(CADC1). The NPI Number for Don Lyle Severn is 1841761699 and holds a License No. CI21700218 (California).

The current practice location address for Don Lyle Severn is 1515 Market Ave, San Pablo, CA and can be reached out via phone at 510-619-3000 and via fax at 510-235-2545.

Location: 1515 Market Ave, San Pablo, CA, 94806-4357
person
Provider Profile Details
NPI Number
1841761699
Provider Name
Don Lyle Severn
Credential
CI21700218(CADC1)
Provider Entity Type
Individual
Gender
Male
Address
1515 Market Ave, San Pablo, CA, 94806-4357
Phone Number
510-619-3000
Fax Number
510-235-2545
Provider Enumeration Date
12/05/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1265560130 05 CA
institution
Provider Business Practice Location Address Details
Address
1515 Market Ave
City
State
Zip
94806-4357
Phone Number
510-619-3000
Fax Number
510-235-2545
person
Provider Business Mailing Address Details
Address
1515 Market Ave
City
State
Zip
94806-4357
Phone Number
510-619-3000
Fax Number
510-235-2545
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CI21700218 (California)
Definition
Definition to come...
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