TREVOR GENTRY

RESEDA, CA
NPI1477374049
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1484760922)
Enumeration Date2024-10-17
Last Update Date2024-10-17
Business Address
TREVOR GENTRY RADT
7101 BAIRD AVE
RESEDA, CA 91335-4150
Phone number: 818-342-5897
Mailing Address
TREVOR GENTRY RADT
7101 BAIRD AVE
RESEDA, CA 91335-4150
Phone number: 818-342-5897