Individual provider · NPI-1

Mary Abu-Dawood

Counselor, Addiction (Substance Use Disorder) · Roseville, CA

NPI number1336690213
StatusActive
Last updated in NPPESOct 17, 2016

Details

NPI
1336690213
Entity type
Individual (NPI-1)
Name
Mary Abu-Dawood
Sex
Female
Sole proprietor
No
Enumeration date
Oct 17, 2016
Last updated
Oct 17, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

1133 Coloma Way
C
Roseville, CA 95661-4480

Phone 916-774-6647

Mailing address

2241 Concord Ct
Fairfield, CA 94533-5858

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