Shane Clontz
Shane Clontz is a Community/Behavioral Health Agency in Vacaville, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
942 Cedarcrest DrVacaville, CA 95687-7883
Phone: (503) 462-5388
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X (CA) |
|---|
Record details
| NPI number | 1669232518 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 19, 2024 |
| Last updated in NPPES | March 19, 2024 |
| Certification date | March 19, 2024 |
| Mailing address | 942 Cedarcrest Dr, Vacaville, CA 95687-7883 |
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