Individual
BRENDA ADELE TAFOLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2403 PROFESSIONAL DR, SANTA ROSA, CA 95403-3007
(707) 544-3295
(707) 544-9011
Mailing address
2403 PROFESSIONAL DR, SANTA ROSA, CA 95403-3007
(707) 544-3295
(707) 544-9011
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/01/2020
Last updated
10/29/2024
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