GEORGE CHRISTOPHER GRAVELINE

KING CITY, CA
NPI1376909432
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  A062350323)
Enumeration Date2016-01-05
Last Update Date2023-03-23
Business Address
GEORGE CHRISTOPHER GRAVELINE CADC II #A062350323
641 BROADWAY ST
KING CITY, CA 93930-3231
Phone number: 813-525-8181
Mailing Address
GEORGE CHRISTOPHER GRAVELINE CADC II #A062350323
641 BROADWAY ST
KING CITY, CA 93930-3231
Phone number: 813-525-8181
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