THADDEUS CORNELIUS CARROLL

LOS ANGELES, CA
NPI1073369518
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence:   RADT-R1509870623)
Enumeration Date2024-04-25
Last Update Date2024-04-25
Business Address
THADDEUS CORNELIUS CARROLL
1045 E 20TH ST
LOS ANGELES, CA 90011-1107
Phone number: 213-205-8221
Mailing Address
THADDEUS CORNELIUS CARROLL
1045 E 20TH ST
LOS ANGELES, CA 90011-1107
Phone number: 213-205-8221
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