STANLEY KEVIN THOMAS

PASADENA, CA
NPI1104291079
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2015-12-03
Last Update Date2015-12-03
Business Address
STANLEY KEVIN THOMAS CCAPP, REGISTRANT
1680 N FAIR OAKS AVE
PASADENA, CA 91103-1642
Phone number: 323-907-4842
Mailing Address
STANLEY KEVIN THOMAS CCAPP, REGISTRANT
1680 N FAIR OAKS AVE
PASADENA, CA 91103-1642
Phone number: 323-907-4842
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