Individual
ANDREW BARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10014 RAMONA AVE, MONTCLAIR, CA 91763-3039
(909) 368-8849
Mailing address
10014 RAMONA AVE, MONTCLAIR, CA 91763-3039
(909) 368-8849
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6048-R
CA
Other
Enumeration date
06/21/2015
Last updated
06/21/2015
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