Clyde Childress Jr.
Clyde Childress Jr. is a Counselor in San Rafael, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2016
Practice location Address checks out
1466 Lincoln AveSan Rafael, CA 94901-2021
Phone: (415) 457-3755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X · Licence C1106010028 (CA) |
|---|
Record details
| NPI number | 1376998898 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 3, 2016 |
| Last updated in NPPES | May 3, 2016 |
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