JACK THORSON MOLL

LOS ANGELES, CA
NPI1225773419
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-05-02
Last Update Date2022-05-02
Business Address
Mr. JACK THORSON MOLL
8831 VENICE BLVD
LOS ANGELES, CA 90034-3223
Phone number: 310-204-5200
Mailing Address
Mr. JACK THORSON MOLL
8831 VENICE BLVD
LOS ANGELES, CA 90034-3223
Phone number:
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