JOHN BRIAN VANDYCK

SAN ANDREAS, CA
NPI1134267388
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-02-01
Last Update Date2007-07-08
Business Address
Mr. JOHN BRIAN VANDYCK Rev.
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249-9713
Phone number: 209-754-6555
Mailing Address
Mr. JOHN BRIAN VANDYCK Rev.
PO BOX 56
TWAIN HARTE, CA 95383-0056
Phone number: 209-754-2805