JERRY FARMER

MODESTO, CA
NPI1205392859
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2019-02-19
Last Update Date2019-02-19
Business Address
JERRY FARMER
1028 RENO AVE
MODESTO, CA 95351-1127
Phone number: 209-579-1103
Mailing Address
JERRY FARMER
1100 KANSAS AVE STE B
MODESTO, CA 95351-1596
Phone number: 209-579-1151
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