Individual
ANTHONY JOSEPH MASCARENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2035 FAIRMONT DR, SAN LEANDRO, CA 94578-1088
(510) 346-7939
Mailing address
817 LAMBAREN AVE, LIVERMORE, CA 94551-8132
(925) 292-4245
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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