GAVIN KNOBLOCH

HANFORD, CA
NPI1821878059
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  CI37960323)
Enumeration Date2023-10-04
Last Update Date2023-10-04
Business Address
GAVIN KNOBLOCH CADC I CI37960323
351 MALL DR
HANFORD, CA 93230-5950
Phone number: 559-978-0998
Mailing Address
GAVIN KNOBLOCH CADC I CI37960323
5754 W ELLERY AVE
FRESNO, CA 93722-3144
Phone number: 559-645-2882
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