VERNON ALBERT HOLM

SAN DIMAS, CA
NPI1235441510
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  1367)
Enumeration Date2010-07-02
Last Update Date2010-07-02
Business Address
Mr. VERNON ALBERT HOLM
323 W 2ND ST
SAN DIMAS, CA 91773-2029
Phone number: 909-919-8081
Mailing Address
Mr. VERNON ALBERT HOLM
323 W 2ND ST
SAN DIMAS, CA 91773-2029
Phone number: 909-919-8081