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Individual

CASEY JAMES PALMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
914 MISSION AVE FL 3, SAN RAFAEL, CA 94901-6106
(415) 457-6964
Mailing address
1005 GREEN OAK DR, APT 23, NOVATO, CA 94949-6751
(707) 225-7445

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/05/2007
Last updated
09/05/2007
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