Individual
DANIEL STEVEN BANCHERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2251 PALM AVE, SAN MATEO, CA 94403-1814
(650) 513-6500
Mailing address
2251 PALM AVE, SAN MATEO, CA 94403-1814
(650) 513-6500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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