MICHAEL WAYNE CARPENTER

FRESNO, CA
NPI1467708479
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-07-27
Last Update Date2012-07-27
Business Address
-- MICHAEL WAYNE CARPENTER
3435 W SHAW SWEET 101
FRESNO, CA 93711
Phone number: 831-239-9455
Mailing Address
-- MICHAEL WAYNE CARPENTER
3435 W SHAW SWEET 101
FRESNO, CA 93711
Phone number: 831-239-9455