JOHN RANDOLPH WASHINGTON

OCEANSIDE, CA
NPI1184116154
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RADT1)
Enumeration Date2018-06-05
Last Update Date2018-06-05
Business Address
Mr. JOHN RANDOLPH WASHINGTON RADT 1
1905 APPLE ST
OCEANSIDE, CA 92054-4455
Phone number: 760-453-1280
Mailing Address
Mr. JOHN RANDOLPH WASHINGTON RADT 1
1905 APPLE ST.
OCEANSIDE, CA 92054
Phone number: 619-602-3139