RICHARD BALLESTEROS

VICTORVILLE, CA
NPI1235272410
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  18427705)
Enumeration Date2007-02-15
Last Update Date2007-07-08
Business Address
-- RICHARD BALLESTEROS
12625 HESPERIA RD
VICTORVILLE, CA 92395-7720
Phone number: 760-955-1777
Mailing Address
-- RICHARD BALLESTEROS
12625 HESPERIA RD
VICTORVILLE, CA 92395-7720
Phone number: 760-955-1777
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