MARTIN KIPP VONDERSAAR

SANTEE, CA
NPI1528430022
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2015-10-22
Last Update Date2020-08-11
Business Address
MR. MARTIN KIPP VONDERSAAR
10159 MISSION GORGE RD STE C
SANTEE, CA 92071-3857
Phone number: 619-579-0947
Mailing Address
MR. MARTIN KIPP VONDERSAAR
10159 MISSION GORGE RD STE C
SANTEE, CA 92071-3857
Phone number: 619-579-0947
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