JONATHAN DRISKILL

STANTON, CA
NPI1174223176
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1496770223)
Enumeration Date2023-03-08
Last Update Date2023-05-24
Business Address
JONATHAN DRISKILL
10936 DALE AVE
STANTON, CA 90680-2724
Phone number: 714-952-4032
Mailing Address
JONATHAN DRISKILL
10936 DALE AVE
STANTON, CA 90680-2724
Phone number: 714-952-4032