THADDEUS ROA

LOS ANGELES, CA
NPI1174753818
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  190622AN)
Enumeration Date2009-07-15
Last Update Date2009-07-15
Business Address
Mr. THADDEUS ROA CAS
4715 CRENSHAW BLVD
LOS ANGELES, CA 90043-1233
Phone number: 323-988-3744
Mailing Address
Mr. THADDEUS ROA CAS
4715 CRENSHAW BLVD
LOS ANGELES, CA 90043-1233
Phone number: 323-988-3744
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