KENNETH MICHAEL LOTT

SAN RAFAEL, CA
NPI1487378444
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R146110322)
Enumeration Date2022-10-03
Last Update Date2022-10-03
Business Address
KENNETH MICHAEL LOTT
13 PETER BEHR DR
SAN RAFAEL, CA 94903-5216
Phone number: 415-473-4119
Mailing Address
KENNETH MICHAEL LOTT
94 CORMORANT CT
MARTINEZ, CA 94553-2117
Phone number:
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