Individual
ARADALA MARIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 CHESTNUT ST, SUSANVILLE, CA 96130-3719
(530) 251-8112
(530) 251-5884
Mailing address
1410 CHESTNUT ST, SUSANVILLE, CA 96130-3719
(530) 251-8112
(530) 251-5884
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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