TERRY LAMONT WILSON

LOS ANGELES, CA
NPI1386852143
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
-- TERRY LAMONT WILSON
3741 STOCKER ST STE 210
LOS ANGELES, CA 90008-5109
Phone number: 323-298-5651
Mailing Address
-- TERRY LAMONT WILSON
1117 W 45TH ST
LOS ANGELES, CA 90037-2406
Phone number: 323-298-5651