JESSIE HEREDIA

GLENDALE, CA
NPI1184445108
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-10-22
Last Update Date2024-10-22
Business Address
JESSIE HEREDIA
4544 SAN FERNANDO RD STE 201
GLENDALE, CA 91204-5015
Phone number: 866-989-1195
Mailing Address
JESSIE HEREDIA
4544 SAN FERNANDO RD STE 201
GLENDALE, CA 91204-5015
Phone number: 866-989-1195
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