Individual
CHRISTOPHER INCLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4626 N GRAND AVE, COVINA, CA 91724-2055
(626) 331-5316
(626) 332-2219
Mailing address
4626 NORTH GRAND AVE, COVINA, CA 91724
(626) 331-5316
(626) 332-2219
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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