Individual
MS. CARLETA DOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 EMPIRE ST STE 2200, FAIRFIELD, CA 94533-5711
(707) 439-7830
Mailing address
1399 WORLEY RD UNIT B, SUISUN CITY, CA 94585-1970
(707) 720-9692
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
93712
CA
Other
Enumeration date
07/17/2020
Last updated
05/19/2023
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