LARRY GEORGE ALBERT

ANTIOCH, CA
NPI1285801944
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RO113520)
Enumeration Date2008-05-13
Last Update Date2008-05-13
Business Address
-- LARRY GEORGE ALBERT CAS II
1408 A ST
ANTIOCH, CA 94509-2331
Phone number: 925-978-2873
Mailing Address
-- LARRY GEORGE ALBERT CAS II
1408 A ST
ANTIOCH, CA 94509-2331
Phone number: 925-978-2873