JESSICA VANDERLAN

CANOGA PARK, CA
NPI1306194477
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-08-21
Last Update Date2012-08-21
Business Address
-- JESSICA VANDERLAN
7246 REMMET AVE
CANOGA PARK, CA 91303-1531
Phone number: 818-206-0360
Mailing Address
-- JESSICA VANDERLAN
7246 REMMET AVE
CANOGA PARK, CA 91303-1531
Phone number: