RICHARD BARDONNER

MODESTO, CA
NPI1659160042
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  20255)
Enumeration Date2025-05-02
Last Update Date2025-05-16
Business Address
RICHARD BARDONNER SUDRC
800 SCENIC DR
MODESTO, CA 95350-6131
Phone number: 209-558-4610
Mailing Address
RICHARD BARDONNER SUDRC
800 SCENIC DR
MODESTO, CA 95350-6131
Phone number: 209-558-4610
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