Search › California › 101YA0400X
Chris Packham, LAADC, WTS, CS
NPI 1821692500 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1101 Park Ave
San Jose, CA 95126 - Phone
- (408) 915-1321
- Fax
- (408) 297-7450
- Organisation at this address
- New Life Recovery Centers, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California