Individual
MS. ANNUNZIATA JOHANNA PAULINA VAN VOORENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11686 SPRUCE GROVE RD, LOWER LAKE, CA 95457-9545
(707) 994-4053
Mailing address
P.O. BOX 1127, LOWER LAKE, CA 95457
(707) 480-7319
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCSW78653
CA
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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