GARY ANDERSON

ANTIOCH, CA
NPI1700187309
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-11-12
Last Update Date2010-11-12
Business Address
Mr. GARY ANDERSON
1915 D ST
ANTIOCH, CA 94509-2571
Phone number: 925-754-3673
Mailing Address
Mr. GARY ANDERSON
1915 D ST
ANTIOCH, CA 94509-2571
Phone number: 925-754-3673
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