DAMON MOON CROSS

HOOPA, CA
NPI1255931317
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  A051700220)
Enumeration Date2020-10-28
Last Update Date2020-10-28
Business Address
DAMON MOON CROSS CADC-II
535 AIRPORT RD
HOOPA, CA 95546-9615
Phone number: 530-625-4261
Mailing Address
DAMON MOON CROSS CADC-II
PO BOX 1288
HOOPA, CA 95546-1288
Phone number: 530-625-4261
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