Individual
BARRY DEMETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24460 LYONS AVE, SANTA CLARITA, CA 91321-2347
(661) 253-9400
(661) 253-9403
Mailing address
6166 VESPER AVE, VAN NUYS, CA 91411-2851
(818) 997-0414
(818) 785-3457
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RW7613
CA
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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