Individual
MR. ADAM JOHN VILLAGOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC-II
Contact information
Practice address
144 STONY POINT RD, SANTA ROSA, CA 95401-4122
(707) 521-4557
Mailing address
144 STONY POINT RD, SANTA ROSA, CA 95401-4122
(707) 521-4557
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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