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Imani Danielle Shubin
Addiction (Substance Use Disorder) Counselor in Santa Rosa, California
NPI 1922782580

Imani Danielle Shubin is an Addiction (Substance Use Disorder) Counselor based in Santa Rosa, CA and is specialized in Addiction (Substance Use Disorder). Imani Danielle Shubin practices in Santa Rosa, CA. The NPI Number for Imani Danielle Shubin is 1922782580 and holds a License No. (California).

The current practice location address for Imani Danielle Shubin is 540 Middle Rincon Rd, Santa Rosa, CA and can be reached out via phone at 707-909-0168 and via fax at 707-571-5531.

Location: 540 Middle Rincon Rd, Santa Rosa, CA, 95409-3107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922782580
Provider Name
Imani Danielle Shubin
Credential
Provider Entity Type
Individual
Gender
Female
Address
540 Middle Rincon Rd, Santa Rosa, CA, 95409-3107
Phone Number
707-909-0168
Fax Number
707-571-5531
Provider Enumeration Date
06/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
540 Middle Rincon Rd
City
Santa Rosa
State
California
Zip
95409-3107
Phone Number
707-909-0168
Fax Number
707-571-5531
person
Provider Business Mailing Address Details
Address
540 Middle Rincon Rd
City
Santa Rosa
State
California
Zip
95409-3107
Phone Number
707-909-0168
Fax Number
707-571-5531
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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