ADAM SHAWN VANDIVER

EL CAJON, CA
NPI1346586435
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RW6051)
Enumeration Date2012-12-18
Last Update Date2012-12-18
Business Address
-- ADAM SHAWN VANDIVER
545 N MAGNOLIA AVE
EL CAJON, CA 92020-3608
Phone number: 619-579-0947
Mailing Address
-- ADAM SHAWN VANDIVER
545 N MAGNOLIA AVE
EL CAJON, CA 92020-3608
Phone number: 619-579-0947
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