NATHANIEL MARK TOLLEFSON

HEMET, CA
NPI1093850703
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-02-20
Last Update Date2007-07-08
Business Address
Mr. NATHANIEL MARK TOLLEFSON
650 N STATE ST
HEMET, CA 92543-2960
Phone number: 951-791-3350
Mailing Address
Mr. NATHANIEL MARK TOLLEFSON
1097 N STATE ST #162
HEMET, CA 92543-1514
Phone number: 951-652-7068