Individual
CHIVONNE LORRAINE BOZARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1477 LINCOLN AVE, SAN RAFAEL, CA 94901-2028
(415) 459-2395
Mailing address
1477 LINCOLN AVE, SAN RAFAEL, CA 94901-2028
(415) 459-2395
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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