DAVID GLEN KIRKLAND

MODESTO, CA
NPI1528286580
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  02045384)
Enumeration Date2007-04-23
Last Update Date2007-07-08
Business Address
Mr. DAVID GLEN KIRKLAND C.A.S.
1028 RENO AVE
MODESTO, CA 95351-1127
Phone number: 209-579-1103
Mailing Address
Mr. DAVID GLEN KIRKLAND C.A.S.
1013 DEL VALE AVE
MODESTO, CA 95350-4800
Phone number: 209-571-0972