Individual
BRUCE LANE GUYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 S PERSHING AVE, STOCKTON, CA 95203-3236
(209) 513-5042
Mailing address
501 S PERSHING AVE, STOCKTON, CA 95203-3236
(209) 513-5042
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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