KEITH DONAVON CALLOW

LOS ANGELES, CA
NPI1326899261
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  16891)
Enumeration Date2024-03-28
Last Update Date2024-03-28
Business Address
KEITH DONAVON CALLOW
12021 WILMINGTON AVE
LOS ANGELES, CA 90059-3019
Phone number: 424-454-6001
Mailing Address
KEITH DONAVON CALLOW
12021 WILMINGTON AVE
LOS ANGELES, CA 90059-3019
Phone number: 949-426-9279
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