NATHAN GIST

SAN RAFAEL, CA
NPI1326794256
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2022-03-01
Last Update Date2022-03-01
Business Address
NATHAN GIST
291 SMITH RANCH RD
SAN RAFAEL, CA 94903-2093
Phone number: 415-492-0818
Mailing Address
NATHAN GIST
291 SMITH RANCH RD
SAN RAFAEL, CA 94903-2093
Phone number: 415-492-0818
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