GLENN MAXWELL

SACRAMENTO, CA
NPI1588191688
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  A022090216)
Enumeration Date2017-05-19
Last Update Date2017-05-19
Business Address
GLENN MAXWELL CADC-II, ICADC
3600 POWER INN RD
SACRAMENTO, CA 95826-3826
Phone number: 916-453-2704
Mailing Address
GLENN MAXWELL CADC-II, ICADC
3600 POWER INN RD
SACRAMENTO, CA 95826-3826
Phone number:
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