MARK GLENN WILLOUGHBY

EL MONTE, CA
NPI1174038756
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-12-05
Last Update Date2017-12-05
Business Address
MARK GLENN WILLOUGHBY
3430 COGSWELL RD
EL MONTE, CA 91732-2785
Phone number: 626-453-3400
Mailing Address
MARK GLENN WILLOUGHBY
3430 COGSWELL RD
EL MONTE, CA 91732-2785
Phone number: