JILL DOREEN GUSTAFSON

NORTH HOLLYWOOD, CA
NPI1538428990
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-05-04
Last Update Date2013-01-02
Business Address
Ms. JILL DOREEN GUSTAFSON
11120 ACAMA ST
NORTH HOLLYWOOD, CA 91602-3025
Phone number: 310-400-9000
Mailing Address
Ms. JILL DOREEN GUSTAFSON
11120 ACAMA ST
NORTH HOLLYWOOD, CA 91602-3025
Phone number:
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