TERRY ROLAND

SANTA ANA, CA
NPI1164297677
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RI527950923)
Enumeration Date2023-11-15
Last Update Date2023-11-15
Business Address
TERRY ROLAND RADT
600 W SANTA ANA BLVD STE 109
SANTA ANA, CA 92701-4582
Phone number: 714-667-7926
Mailing Address
TERRY ROLAND RADT
4901 GREEN RIVER RD SPC 58
CORONA, CA 92878-8273
Phone number: 951-317-3955