WYATT EVERETT TRAMMELL

SAN ANDREAS, CA
NPI1588216899
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  9199)
Enumeration Date2019-07-16
Last Update Date2019-07-16
Business Address
WYATT EVERETT TRAMMELL CADC-CAS, SUDDC
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249-9713
Phone number: 209-608-0700
Mailing Address
WYATT EVERETT TRAMMELL CADC-CAS, SUDDC
PO BOX 1341
ANGELS CAMP, CA 95222-1341
Phone number: 209-608-0700