STACEY BOTTOMS

FRESNO, CA
NPI1407064256
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
-- STACEY BOTTOMS
6511 N 1ST ST
FRESNO, CA 93710-3930
Phone number: 559-438-7129
Mailing Address
-- STACEY BOTTOMS
6511 N 1ST ST
FRESNO, CA 93710-3930
Phone number: