NATHAN REUBEN BLACKSMITH

SAN FRANCISCO, CA
NPI1043670995
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  A02670315)
Enumeration Date2016-03-03
Last Update Date2016-03-03
Business Address
-- NATHAN REUBEN BLACKSMITH CADCII
56 JULIAN AVE
SAN FRANCISCO, CA 94103-3507
Phone number: 415-865-0964
Mailing Address
-- NATHAN REUBEN BLACKSMITH CADCII
1702 ARCHER DR
WOODLAND, CA 95695-5607
Phone number: 415-865-0964
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