ANDREW KENNETH BENNETT

SAN DIEGO, CA
NPI1154295335
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RT1419840925)
Enumeration Date2025-10-01
Last Update Date2025-10-01
Business Address
ANDREW KENNETH BENNETT RADT
2952 CEDAR ST
SAN DIEGO, CA 92102-1515
Phone number: 619-239-7370
Mailing Address
ANDREW KENNETH BENNETT RADT
2952 CEDAR ST
SAN DIEGO, CA 92102-1515
Phone number: 619-239-7370