GERALD R SHIREY

CAMPO, CA
NPI1629554803
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  A048880118)
Enumeration Date2018-07-11
Last Update Date2022-03-30
Business Address
MR. GERALD R SHIREY CADC-II, ICADC
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906-2022
Phone number: 619-478-5696
Mailing Address
MR. GERALD R SHIREY CADC-II, ICADC
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906-2022
Phone number: 619-478-5696