Individual
ANTHONY SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1133 COLOMA WAY STE C, ROSEVILLE, CA 95661-4480
(916) 774-6647
Mailing address
2515 HUCKLEBERRY CIR, WEST SACRAMENTO, CA 95691-4555
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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