Individual
ANNA ERAQUIN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
1800 GRAVENSTEIN HWY N, SEBASTOPOL, CA 95472
(707) 293-4325
Mailing address
1800 GRAVENSTEIN HWY N, SEBASTOPOL, CA 95472-2607
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
81521
CA
Other
Enumeration date
09/03/2014
Last updated
04/15/2019
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