BRUCE KEVIN BOTHWELL

SAN FRANCISCO, CA
NPI1194231480
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-12-21
Last Update Date2017-12-21
Business Address
BRUCE KEVIN BOTHWELL
1111 MARKET ST
SAN FRANCISCO, CA 94103-1513
Phone number: 415-863-3883
Mailing Address
BRUCE KEVIN BOTHWELL
6701 PINEHAVEN RD
OAKLAND, CA 94611-1013
Phone number: