JOHN RUSSELL LEE

SANTA ANA, CA
NPI1184455792
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  2315828)
Enumeration Date2024-08-13
Last Update Date2024-09-30
Business Address
JOHN RUSSELL LEE
405 W 5TH ST
SANTA ANA, CA 92701-4599
Phone number: 714-345-8697
Mailing Address
JOHN RUSSELL LEE
405 W 5TH ST
SANTA ANA, CA 92701-4599
Phone number:
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