JUSTIN JAY WYLIE

SAN DIEGO, CA
NPI1134345424
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-04-17
Last Update Date2007-07-08
Business Address
Mr. JUSTIN JAY WYLIE
3274 ROSECRANS ST
SAN DIEGO, CA 92110-4836
Phone number: 619-226-2663
Mailing Address
Mr. JUSTIN JAY WYLIE
3274 ROSECRANS ST
SAN DIEGO, CA 92110-4836
Phone number: 619-226-2663
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