MICHAEL LEE CHIDESTER

NEWARK, CA
NPI1053973206
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-07-08
Last Update Date2019-07-08
Business Address
Mr. MICHAEL LEE CHIDESTER CATC-I
6330 THORNTON AVE
NEWARK, CA 94560-3734
Phone number: 510-792-4357
Mailing Address
Mr. MICHAEL LEE CHIDESTER CATC-I
6330 THORNTON AVE
NEWARK, CA 94560-3734
Phone number: 510-792-4357
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