Most Relevant Information
Provider Data
| NPI Number: | 1003412073 |
| Provider Name: | BILL HADDOCK |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/07/2020 |
| Last Updated: | 12/07/2020 |
Provider Practice Location
2251 PALM AVE
SAN MATEO
CA
944031814
Practice Location Phone/Fax
| Phone: | 6505136500 |
| Fax: |
Provider Mailing Location
2251 PALM AVE
SAN MATEO
CA
944031814
Provider Mailing Phone/Fax
| Phone: | 6505136500 |
| Fax: |