Individual
AARON LEE MCCLYMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1430 NEOTOMAS AVE, SANTA ROSA, CA 95405-7575
(707) 565-7460
Mailing address
1430 NEOTOMAS AVE, SANTA ROSA, CA 95405-7575
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10960
CA
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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