Individual
JOHN RODERICK LIBBEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
633 NEW SEABURY CT, WALNUT CREEK, CA 94598-4649
(831) 818-9395
Mailing address
633 NEW SEABURY CT, WALNUT CREEK, CA 94598-4649
(831) 818-9395
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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