PHILLIP WAYNE RADFORD

LINCOLN, CA
NPI1730945619
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  R1549080224)
Enumeration Date2024-02-27
Last Update Date2024-02-27
Business Address
PHILLIP WAYNE RADFORD
1530 3RD ST STE 111
LINCOLN, CA 95648-2501
Phone number: 916-742-9312
Mailing Address
PHILLIP WAYNE RADFORD
1530 3RD ST STE 111
LINCOLN, CA 95648-2501
Phone number: 530-320-7586