RANDALL THEODORE GAEDE

EL CAJON, CA
NPI1033451547
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-03-22
Last Update Date2013-03-22
Business Address
Mr. RANDALL THEODORE GAEDE
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 619-442-0277
Mailing Address
Mr. RANDALL THEODORE GAEDE
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 619-442-0277