MICHAEL ANDRADE

CLEARLAKE, CA
NPI1336290485
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RI-A0612181235)
Enumeration Date2007-01-16
Last Update Date2007-07-08
Business Address
-- MICHAEL ANDRADE
7000-B SOUTH CENTER DR
CLEARLAKE, CA 95422
Phone number: 707-994-6494
Mailing Address
-- MICHAEL ANDRADE
PO BOX 1560
CLEARLAKE, CA 95422
Phone number: