KEVIN FITZGEARLD SCOTT

LOS ANGELES, CA
NPI1356128292
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  15999)
Enumeration Date2023-09-13
Last Update Date2023-09-13
Business Address
KEVIN FITZGEARLD SCOTT SUDRC
12021 WILMINGTON AVE STE 101
LOS ANGELES, CA 90059-3019
Phone number: 424-454-6001
Mailing Address
KEVIN FITZGEARLD SCOTT SUDRC
844 W 60TH ST
LOS ANGELES, CA 90044-5513
Phone number: 323-385-7186