MICHAEL KERCKHOFF

SAN PEDRO, CA
NPI1225894033
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1550110224)
Enumeration Date2024-02-28
Last Update Date2024-02-28
Business Address
MICHAEL KERCKHOFF
505 S PACIFIC AVE
SAN PEDRO, CA 90731-2656
Phone number: 310-519-8723
Mailing Address
MICHAEL KERCKHOFF
1239 N WILMINGTON BLVD
WILMINGTON, CA 90744-2455
Phone number: 424-536-0166
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