GARY CHALON MOON

LINCOLN, CA
NPI1568968048
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-04-03
Last Update Date2018-04-03
Business Address
Mr. GARY CHALON MOON
385 LILAC LN
LINCOLN, CA 95648-8165
Phone number: 916-708-7557
Mailing Address
Mr. GARY CHALON MOON
385 LILAC LN
LINCOLN, CA 95648-8165
Phone number: 916-708-7557
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