Individual
BARRY CASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
446 LINDBERGH AVE, LIVERMORE, CA 94551-9552
(925) 249-3185
Mailing address
446 LINDBERGH AVE, LIVERMORE, CA 94551-9552
(925) 249-3185
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2394
EIN
CA
Enumeration date
09/30/2011
Last updated
09/30/2011
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