ROGER DOUGLAS

OCEANSIDE, CA
NPI1306397260
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2016-10-17
Last Update Date2016-10-17
Business Address
ROGER DOUGLAS
3923 WARING RD
OCEANSIDE, CA 92056-4457
Phone number: 760-726-4451
Mailing Address
ROGER DOUGLAS
3923 WARING RD
OCEANSIDE, CA 92056-4457
Phone number: 760-726-4451