TERRENCE WALLER

NORTH HOLLYWOOD, CA
NPI1346916863
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-08-17
Last Update Date2021-08-17
Business Address
TERRENCE WALLER
8330 LANKERSHIM BLVD
NORTH HOLLYWOOD, CA 91605-1615
Phone number: 818-252-1400
Mailing Address
TERRENCE WALLER
8330 LANKERSHIM BLVD
NORTH HOLLYWOOD, CA 91605-1615
Phone number: 818-252-1400
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