Jerry Chan
NPI #1013796069 in San Bernardino, California
Provider Information
- NPI Number
- 1013796069
- Entity Type
- Individual
- Name
- Jerry Chan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Sep 27, 2023
- Last Updated
- Sep 27, 2023
Practice Location
- Address
- 1149 N D ST
- City
- San Bernardino
- State
- California
- ZIP Code
- 92410-3523
- Phone
- (909) 884-0840
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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