Individual
ANGUS DONALD MACBAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 JACKSON ST, HAYWARD, CA 94544-1948
(510) 886-8696
(510) 888-9054
Mailing address
927 AMHURST CT, CONCORD, CA 94518-3805
(925) 332-8317
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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