JEFFREY KENT NISS

VISTA, CA
NPI1508539669
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  C7801214)
Enumeration Date2021-07-26
Last Update Date2021-07-26
Business Address
Mr. JEFFREY KENT NISS CCAPP C7801214
733 S SANTA FE AVE
VISTA, CA 92083-5939
Phone number: 760-945-5290
Mailing Address
Mr. JEFFREY KENT NISS CCAPP C7801214
2130 S SANTA FE AVE APT 28
VISTA, CA 92084-7853
Phone number: 760-214-0378
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