Individual
CHRISTOPHER MICHAEL AUDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APCC
Contact information
Practice address
1225 TRAVIS BLVD, FAIRFIELD, CA 94533-4892
(073) 999-1907
Mailing address
609 JEFFERSON ST, FAIRFIELD, CA 94533-6293
(707) 399-9190
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
33059
CA
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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