Individual
MAX CLEATIS SNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7940 BODEGA AVE APT 13, SEBASTOPOL, CA 95472-3566
(530) 401-5075
Mailing address
7940 BODEGA AVE APT 13, SEBASTOPOL, CA 95472-3566
(530) 401-5075
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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