THEODORE FIELDS

SACRAMENTO, CA
NPI1154789022
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-02-05
Last Update Date2016-02-05
Business Address
-- THEODORE FIELDS
4909 DATE AVE APT 12
SACRAMENTO, CA 95841-3548
Phone number: 916-678-2519
Mailing Address
-- THEODORE FIELDS
4909 DATE AVE APT 12
SACRAMENTO, CA 95841-3548
Phone number: 916-678-2519
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