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Individual

MS. DEBORAH AVERHART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1430 NEOTOMAS AVE, SANTA ROSA, CA 95405-7575
(707) 569-4602
(707) 565-7488
Mailing address
2403 PROFESSIONAL DR, SUITE 102, SANTA ROSA, CA 95403-3007
(707) 571-2233
(707) 571-2238

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YA0400X
Addiction (Substance Use Disorder) Counselor

Other

Enumeration date
03/23/2017
Last updated
03/28/2017
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