DANIEL CHAGOLLA

BLOOMINGTON, CA
NPI1366632754
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-07-31
Last Update Date2007-07-31
Business Address
Mr. DANIEL CHAGOLLA
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316-2636
Phone number: 909-421-7120
Mailing Address
Mr. DANIEL CHAGOLLA
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316-2636
Phone number: 909-421-7120
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