MICHAEL SCOTT MCCRACKEN

UKIAH, CA
NPI1114128816
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  CADC II A8493804)
Enumeration Date2007-05-30
Last Update Date2007-07-08
Business Address
MICHAEL SCOTT MCCRACKEN
524 LOW GAP RD
UKIAH, CA 95482-3735
Phone number: 707-463-4943
Mailing Address
MICHAEL SCOTT MCCRACKEN
524 LOW GAP RD
UKIAH, CA 95482-3735
Phone number:
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