JUSTIN VAUGHN SPIVEY

VISALIA, CA
NPI1386398592
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  Ci27250519)
Enumeration Date2022-02-07
Last Update Date2022-02-07
Business Address
Mr. JUSTIN VAUGHN SPIVEY CADC I
1731 W WALNUT AVE
VISALIA, CA 93277-6232
Phone number: 559-732-4885
Mailing Address
Mr. JUSTIN VAUGHN SPIVEY CADC I
14890 WATER AVE
VISALIA, CA 93292-9749
Phone number: 559-516-9967
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