Individual
ADELAYDA MICHELLE CANIZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 PAUL DR, SAN RAFAEL, CA 94903-2023
(415) 526-7809
Mailing address
135 PAUL DR, SAN RAFAEL, CA 94903-2023
(415) 526-7809
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17997
CA
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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