Individual
MR. MICHAEL BARRY LACROIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
340 LENOX AVE APT 1A, OAKLAND, CA 94610-4600
(510) 435-1321
Mailing address
340 LENOX AVE APT 1A, OAKLAND, CA 94610-4600
(510) 435-1321
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
225700000X
Massage Therapist
Primary
24519
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
942578202
METHADONE MAINTENANCE
CA
Enumeration date
11/24/2008
Last updated
05/20/2024
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