IVAN D. O'NEAL

LEMON GROVE, CA
NPI1295312973
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-03-27
Last Update Date2021-03-27
Business Address
IVAN D. O'NEAL
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-465-7303
Mailing Address
IVAN D. O'NEAL
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 619-465-7303
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