THERON GLEN MCCLAIN

HEMET, CA
NPI1952438889
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-02-27
Last Update Date2007-07-09
Business Address
-- THERON GLEN MCCLAIN SAC
960 N STATE ST STE B
HEMET, CA 92543-1473
Phone number: 951-652-3560
Mailing Address
-- THERON GLEN MCCLAIN SAC
3708 MIRAGE DR
PERRIS, CA 92571-9416
Phone number: 951-443-2470