Individual
JANELLE RICHMOND-BUCCOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
341 IRWIN LN, SANTA ROSA, CA 95401-5603
(707) 576-7218
Mailing address
341 IRWIN LN, SANTA ROSA, CA 95401-5603
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
126405
CA
104100000X
Social Worker
Primary
126405
CA
Other
Enumeration date
01/11/2024
Last updated
10/04/2024
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