TANJA SKOUSEN

SAN DIEGO, CA
NPI1043095987
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  15033)
Enumeration Date2023-08-29
Last Update Date2023-08-29
Business Address
TANJA SKOUSEN SUDRC
4125 ALPHA ST
SAN DIEGO, CA 92113-4553
Phone number: 619-266-0166
Mailing Address
TANJA SKOUSEN SUDRC
4125 ALPHA ST
SAN DIEGO, CA 92113-4553
Phone number: 619-266-0166
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