Individual
CARLTON E. SPRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RAS-I
Contact information
Practice address
103 BODIN CIR, FAIRFIELD, CA 94535-1801
(707) 437-1801
Mailing address
103 BODIN CIR, FAIRFIELD, CA 94535-1801
(707) 437-1801
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RI-S0802201422
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
484838
DRUG MEDICAL
CA
Enumeration date
10/10/2008
Last updated
07/03/2012
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