ANDREW ALAN DALE

NOVATO, CA
NPI1811514045
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  14049-RAC)
Enumeration Date2020-07-03
Last Update Date2020-07-03
Business Address
ANDREW ALAN DALE
135 CIELO LN APT 303
NOVATO, CA 94949-3310
Phone number: 805-868-9086
Mailing Address
ANDREW ALAN DALE
135 CIELO LN APT 303
NOVATO, CA 94949-3310
Phone number: