Individual
CEOLA RENEE FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1628 BROADWAY ST, VALLEJO, CA 94590-2405
(707) 649-8300
Mailing address
1628 BROADWAY ST, VALLEJO, CA 94590-2405
(707) 649-8300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
08/21/2023
Last updated
08/24/2023
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