Theron Glen Mcclain SAC

NPI 1952438889 - Counselor - 101YA0400X

NPI Details
NPI 1952438889
Gender Male
Enumeration Date 02/27/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
960 N STATE ST STE B
HEMET CA, 92543-1473, US
Phone (951) 652-3560
Fax (951) 929-2780
Business Location
3708 MIRAGE DR
PERRIS CA, 92571-9416, US
Phone (951) 443-2470
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Theron Glen Mcclain SAC NPI is 1952438889, taxonomy code is 101YA0400X Theron Glen Mcclain SAC physically located at 960 N State St Ste B, Hemet CA, 92543-1473. NPI Number Theron Glen Mcclain SAC has the Individual type.

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1952438889 NPI number is provided on an as is basis without warranty of any kind. 1952438889 is maintained by the National Plan & Provider Enumeration System. The contents of Theron Glen Mcclain SAC are for informational purposes only.