MICHAEL ANTHONY KAMPHUIS

RIVERSIDE, CA
NPI1457860413
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-09-21
Last Update Date2017-09-21
Business Address
MICHAEL ANTHONY KAMPHUIS
17270 ROOSEVELT ST
RIVERSIDE, CA 92508-9523
Phone number: 951-683-6596
Mailing Address
MICHAEL ANTHONY KAMPHUIS
5870 ARLINGTON AVE
RIVERSIDE, CA 92504-2037
Phone number: 951-683-6596