Individual
MR. CHRISTIAN RYAN ODANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2251 PALM AVE, SAN MATEO, CA 94403-1814
(650) 513-6500
Mailing address
815 OLD COUNTY RD APT 236, BELMONT, CA 94002-2480
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19530
CA
Other
Enumeration date
10/19/2024
Last updated
10/19/2024
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