JIMMY CARTER

FAIRFIELD, CA
NPI1639546476
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-08-27
Last Update Date2015-08-27
Business Address
-- JIMMY CARTER
1735 ENTERPRISE DR SUITE 105A
FAIRFIELD, CA 94533-6822
Phone number: 707-425-1799
Mailing Address
-- JIMMY CARTER
1735 ENTERPRISE DR SUITE 105A
FAIRFIELD, CA 94533-6822
Phone number: 707-425-1799
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