DANIEL STEVEN BANCHERO

SAN MATEO, CA
NPI1184220857
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X 
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-12-08
Last Update Date2020-12-08
Business Address
DANIEL STEVEN BANCHERO
2251 PALM AVE
SAN MATEO, CA 94403-1814
Phone number: 650-513-6500
Mailing Address
DANIEL STEVEN BANCHERO
2251 PALM AVE
SAN MATEO, CA 94403-1814
Phone number: 650-513-6500