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1154870442
DONOVAN WALLER ACKLEY
EL CAJON, CA
NPI
1154870442
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Former Name
HEATH ADAM ACKLEY
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-09-27
Last Update Date
2018-08-23
Business Address
Dr. DONOVAN WALLER ACKLEY Ph.D. RADT-1
1400 N JOHNSON AVE 101
EL CAJON, CA 92020-1650
Phone number: 619-442-0277
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Mailing Address
Dr. DONOVAN WALLER ACKLEY Ph.D. RADT-1
1400 N JOHNSON AVE 101
EL CAJON, CA 92020-1650
Phone number: 619-442-0277
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