JOHN KELLY BADGETT

FAIRFIELD, CA
NPI1043807654
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  178015)
Enumeration Date2020-12-29
Last Update Date2020-12-29
Business Address
JOHN KELLY BADGETT
1525 UNION AVE
FAIRFIELD, CA 94533-5049
Phone number: 707-640-4281
Mailing Address
JOHN KELLY BADGETT
1525 UNION AVE
FAIRFIELD, CA 94533-5049
Phone number: 707-640-4281
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