KINSON HER

MORRO BAY, CA
NPI1518781467
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1581180924)
Enumeration Date2024-11-07
Last Update Date2024-11-07
Business Address
KINSON HER RADT #R1581180924
2460 MAIN ST
MORRO BAY, CA 93442-1552
Phone number: 805-772-2212
Mailing Address
KINSON HER RADT #R1581180924
2460 MAIN ST
MORRO BAY, CA 93442-1552
Phone number: 805-772-2212