ELIJAH ALEXANDER GALVAN

SAN JOSE, CA
NPI1043996549
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1512210623)
Enumeration Date2023-06-27
Last Update Date2023-06-27
Business Address
ELIJAH ALEXANDER GALVAN
2202 N 1ST ST
SAN JOSE, CA 95131-2007
Phone number: 408-518-1445
Mailing Address
ELIJAH ALEXANDER GALVAN
746 N 16TH ST
SAN JOSE, CA 95112-3026
Phone number: 408-518-1445