IRENE STEPHAN

HAWTHORNE, CA
NPI1437295847
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  VN201638)
Enumeration Date2007-01-30
Last Update Date2007-07-08
Business Address
-- IRENE STEPHAN
2409 W 117TH ST
HAWTHORNE, CA 90250-1998
Phone number: 310-463-2535
Mailing Address
-- IRENE STEPHAN
2409 W 117TH ST
HAWTHORNE, CA 90250-1998
Phone number: 310-463-2535