KRISTI MAE DEPEW

TARZANA, CA
NPI1134830128
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1410131120)
Enumeration Date2022-12-09
Last Update Date2022-12-09
Business Address
KRISTI MAE DEPEW RADT
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
Mailing Address
KRISTI MAE DEPEW RADT
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051