ANDRE LEE MADSEN

SAN LEANDRO, CA
NPI1790520443
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  16542-i)
Enumeration Date2024-06-26
Last Update Date2024-06-26
Business Address
Mr. ANDRE LEE MADSEN
2035 FAIRMONT DR
SAN LEANDRO, CA 94578-1088
Phone number: 866-866-7496
Mailing Address
Mr. ANDRE LEE MADSEN
3210 62ND AVE
OAKLAND, CA 94605-1614
Phone number: 510-753-9524
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