ADRIAN MICLE

SAN PEDRO, CA
NPI1508381922
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-08-07
Last Update Date2022-07-21
Business Address
ADRIAN MICLE
1003 S BEACON ST
SAN PEDRO, CA 90731-4324
Phone number: 310-514-4940
Mailing Address
ADRIAN MICLE
1003 S BEACON ST
SAN PEDRO, CA 90731-4324
Phone number: 310-514-4940