Individual
MISS CHRISTINA MARIE GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDRC
Contact information
Practice address
1901 CHURCH LN, SAN PABLO, CA 94806-3707
(510) 236-3134
Mailing address
1901 CHURCH LN, SAN PABLO, CA 94806-3707
(510) 236-3134
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14573
CA
Other
Enumeration date
05/05/2023
Last updated
05/10/2024
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