NATHAN GLEN KNOTT

ALISO VIEJO, CA
NPI1104477108
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-09-23
Last Update Date2019-09-23
Business Address
NATHAN GLEN KNOTT
5 MAREBLU
ALISO VIEJO, CA 92656-3014
Phone number: 949-643-6901
Mailing Address
NATHAN GLEN KNOTT
5 MAREBLU
ALISO VIEJO, CA 92656-3014
Phone number: 949-643-6901