SANDRA DIANE KELLAR

VENICE, CA
NPI1093360331
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R8617)
Enumeration Date2019-08-05
Last Update Date2019-08-05
Business Address
SANDRA DIANE KELLAR RADT
717 LINCOLN BLVD
VENICE, CA 90291-2845
Phone number: 310-399-9883
Mailing Address
SANDRA DIANE KELLAR RADT
717 LINCOLN BLVD
VENICE, CA 90291-2845
Phone number: 310-399-9883