BRYAN BALCH

FAIRFIELD, CA
NPI1891418471
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  11200)
Enumeration Date2022-09-20
Last Update Date2022-09-20
Business Address
BRYAN BALCH Executive Director
623 GREAT JONES ST
FAIRFIELD, CA 94533-6005
Phone number: 707-664-7798
Mailing Address
BRYAN BALCH Executive Director
623 GREAT JONES ST
FAIRFIELD, CA 94533-6005
Phone number: 707-664-7798
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