JEREMIAH SERON ELLARD

FRESNO, CA
NPI1346425204
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-01-09
Last Update Date2008-01-09
Business Address
-- JEREMIAH SERON ELLARD
114 E SHAW AVE STE 210
FRESNO, CA 93710-7621
Phone number: 559-221-8100
Mailing Address
-- JEREMIAH SERON ELLARD
4325 N CHESTNUT AVE APT 108
FRESNO, CA 93726-2952
Phone number: 559-375-2696
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