KYLE BATTAGLIA FAIRCLOTH

BERKELEY, CA
NPI1760947485
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1328421118)
Enumeration Date2019-02-06
Last Update Date2019-02-06
Business Address
Mr. KYLE BATTAGLIA FAIRCLOTH
1820 SCENIC AVE
BERKELEY, CA 94709-1324
Phone number: 510-548-7270
Mailing Address
Mr. KYLE BATTAGLIA FAIRCLOTH
558 CLAYTON AVE
EL CERRITO, CA 94530-3230
Phone number: 510-860-3794
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