ERIC BLANK

EL CAJON, CA
NPI1033582796
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2015-11-03
Last Update Date2015-11-03
Business Address
ERIC BLANK
1365 N JOHNSON AVE STE 111
EL CAJON, CA 92020-1649
Phone number: 619-440-4801
Mailing Address
ERIC BLANK
1365 N JOHNSON AVE STE 111
EL CAJON, CA 92020-1649
Phone number: 619-440-4801