Graduated: 2006
NPI: 1083267165
Practice Locations (2)
MENDOCINO COAST CLINICS, INC
205 S ST
FORT BRAGG, CA 954375540
7079641251
SUD SPECIALTY GROUP - CA
4633 OLD IRONSIDES DR, SUITE 304
SANTA CLARA, CA 950541846
8662800260
Source: CMS National Downloadable File, September 2026.