CHRIS MICHAEL PACKHAM

SAN JOSE, CA
NPI1821692500
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  LCi04620615)
Enumeration Date2020-11-24
Last Update Date2020-11-24
Business Address
CHRIS MICHAEL PACKHAM LAADC, WTS, CS
1101 PARK AVE
SAN JOSE, CA 95126-2911
Phone number: 408-915-1321
Mailing Address
CHRIS MICHAEL PACKHAM LAADC, WTS, CS
1101 PARK AVE
SAN JOSE, CA 95126-2911
Phone number: 408-915-1321
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