KEVIN AUSTIN CHURCHILL

STOCKTON, CA
NPI1053822841
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  40640)
Enumeration Date2017-10-19
Last Update Date2017-10-19
Business Address
KEVIN AUSTIN CHURCHILL
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-0102
Mailing Address
KEVIN AUSTIN CHURCHILL
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-0102
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