Individual
GARY BARTL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
5860 MCBRYDE AVE, RICHMOND, CA 94805-1162
(510) 236-0444
Mailing address
5860 MCBRYDE AVE, RICHMOND, CA 94805-1162
(510) 236-0444
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MFC 29444
CA
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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