Provider Demographics
NPI:1326221664
Name:CLARY, MICHAEL HUGH
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:HUGH
Last Name:CLARY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5550 SPRINGHOUSE DR APT 15
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-4090
Mailing Address - Country:US
Mailing Address - Phone:925-339-9906
Mailing Address - Fax:925-449-1039
Practice Address - Street 1:2595 DEPOT RD
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-2341
Practice Address - Country:US
Practice Address - Phone:510-784-5874
Practice Address - Fax:510-784-9194
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)