ROY RONALD BACON

FRESNO, CA
NPI1801669650
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  SUDRC16662)
Enumeration Date2023-11-02
Last Update Date2023-11-02
Business Address
ROY RONALD BACON
4705 N SONORA AVE STE 113
FRESNO, CA 93722-3965
Phone number: 559-276-7558
Mailing Address
ROY RONALD BACON
4705 N SONORA AVE STE 113
FRESNO, CA 93722-3965
Phone number: 559-276-7558
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