ROY LAKES

FULLERTON, CA
NPI1144636390
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2014-07-09
Last Update Date2014-07-09
Business Address
ROY LAKES
218 E COMMONWEALTH AVE
FULLERTON, CA 92832-1911
Phone number: 714-992-4770
Mailing Address
ROY LAKES
218 E COMMONWEALTH AVE
FULLERTON, CA 92832-1911
Phone number: 714-992-4770
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