ANDREW JORDAN ELLEDGE

EL MONTE, CA
NPI1447529318
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-12-22
Last Update Date2011-12-22
Business Address
-- ANDREW JORDAN ELLEDGE
11041 VALLEY BLVD
EL MONTE, CA 91731-2516
Phone number: 626-442-4177
Mailing Address
-- ANDREW JORDAN ELLEDGE
484 E HOWARD ST
PASADENA, CA 91104-2241
Phone number: 810-931-1966
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