JUSTIN EASTMAN

SOUTH LAKE TAHOE, CA
NPI1346621273
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R931014)
Enumeration Date2015-06-16
Last Update Date2015-06-16
Business Address
Mr. JUSTIN EASTMAN
2494 LAKE TAHOE BLVD SUITE B6
SOUTH LAKE TAHOE, CA 96150-7719
Phone number: 530-541-4594
Mailing Address
Mr. JUSTIN EASTMAN
PO BOX 17509
SOUTH LAKE TAHOE, CA 96151-7509
Phone number: 530-541-4594
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