ANDREW WILLIAM BOLAN

SAN PEDRO, CA
NPI1285488106
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1526620923)
Enumeration Date2024-04-16
Last Update Date2024-04-16
Business Address
ANDREW WILLIAM BOLAN RADT
132 W 10TH ST
SAN PEDRO, CA 90731-3702
Phone number: 310-514-4940
Mailing Address
ANDREW WILLIAM BOLAN RADT
1003 S BEACON ST
SAN PEDRO, CA 90731-4324
Phone number: 310-514-4940
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