LARRY HALVERSON

BERKELEY, CA
NPI1619663770
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-04-12
Last Update Date2023-04-12
Business Address
LARRY HALVERSON
1835 ALLSTON WAY
BERKELEY, CA 94703-1764
Phone number: 510-666-9552
Mailing Address
LARRY HALVERSON
1835 ALLSTON WAY
BERKELEY, CA 94703-1764
Phone number: 510-666-9552