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MICHAEL JONATHAN DEMMERS

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1912486267

Individual Registrant:
 MICHAEL JONATHAN DEMMERS 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
40 E MINARETS AVE  PINEDALE, CA 93650-1239 US
Tel: 559-436-0482  Fax: 844-587-6403

Contact information for business:
40 E MINARETS AVE  PINEDALE, CA 93650-1239 US
Tel: 559-436-0482  Fax: 844-587-6403

Registration Information:
NPI: 1912486267
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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