Individual
APRIL MARIE POULTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REG SUD COUNSELOR
Contact information
Practice address
3707 SUNSET LN, ANTIOCH, CA 94509-6101
(925) 522-0124
Mailing address
3707 SUNSET LN, ANTIOCH, CA 94509-6101
(925) 522-0124
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16895
CA
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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