BRYAN THOMAS CLARKE

MODESTO, CA
NPI1740844240
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  507004599)
Enumeration Date2019-04-30
Last Update Date2019-04-30
Business Address
Mr. BRYAN THOMAS CLARKE RADT
3125 MCHENRY AVE STE D
MODESTO, CA 95350-1451
Phone number: 209-523-6900
Mailing Address
Mr. BRYAN THOMAS CLARKE RADT
700 N QUINCY RD
TURLOCK, CA 95380-4334
Phone number: 209-277-4386
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