CHRISTINE SHIRLEY POTAPOV

TRABUCO CANYON, CA
NPI1326882192
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1562940624)
Enumeration Date2024-06-25
Last Update Date2024-06-25
Business Address
CHRISTINE SHIRLEY POTAPOV RADT
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Phone number: 818-582-8832
Mailing Address
CHRISTINE SHIRLEY POTAPOV RADT
24522 BENDRICON LN APT D
LAKE FOREST, CA 92630-8603
Phone number: 949-898-0080
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