DEREN LELAND MIKELS

RIVERSIDE, CA
NPI1003985979
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS20881)
Enumeration Date2006-11-07
Last Update Date2007-07-08
Business Address
-- DEREN LELAND MIKELS LCSW
5015 CANYON CREST DR SUITE 102
RIVERSIDE, CA 92507
Phone number: 951-529-3692
Mailing Address
-- DEREN LELAND MIKELS LCSW
5015 CANYON CREST DR SUITE 102
RIVERSIDE, CA 92507
Phone number: 951-529-3692