DAVID R SHADDOCK

BERKELEY, CA
NPI1396253803
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFT20360)
Enumeration Date2018-01-18
Last Update Date2018-01-18
Business Address
DAVID R SHADDOCK MFT
3030 ASHBY AVENUE, # 105
BERKELEY, CA 94705
Phone number: 510-836-1692
Mailing Address
DAVID R SHADDOCK MFT
3030 ASHBY AVENUE, # 105
BERKELEY, CA 94705
Phone number: 510-836-1692