JEFFREY ANDERSEN

SAN PEDRO, CA
NPI1164071650
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  92845)
Enumeration Date2019-09-06
Last Update Date2019-09-06
Business Address
JEFFREY ANDERSEN
270 W 14TH ST # 27
SAN PEDRO, CA 90731-4396
Phone number: 310-519-8723
Mailing Address
JEFFREY ANDERSEN
270 W 14TH ST # 270
SAN PEDRO, CA 90731-4396
Phone number: 310-519-8723
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