Individual
ANITA LOUISE KIESEWETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
440 HENDERSON ST STE C, GRASS VALLEY, CA 95945-7374
(530) 273-9541
(530) 273-1327
Mailing address
14496 ECHO RIDGE DR, NEVADA CITY, CA 95959-9630
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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