MICHAEL B CONNOLLY

MARTINEZ, CA
NPI1144737362
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  179638)
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
(Licence: CA  179638)
Enumeration Date2018-01-09
Last Update Date2024-06-04
Business Address
MICHAEL B CONNOLLY CADC II
4645 PACHECO BLVD
MARTINEZ, CA 94553-3625
Phone number: 925-646-9270
Mailing Address
MICHAEL B CONNOLLY CADC II
259 SAINT GERMAIN LN
PLEASANT HILL, CA 94523-1117
Phone number: 510-253-3645