COLLEEN LOUISE CHILDRESS

FULLERTON, CA
NPI1538528542
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RI-C1312211052)
Enumeration Date2016-02-18
Last Update Date2016-02-25
Business Address
-- COLLEEN LOUISE CHILDRESS
1201 W VALENCIA DR SPACE 29
FULLERTON, CA 92833-3310
Phone number: 562-233-3994
Mailing Address
-- COLLEEN LOUISE CHILDRESS
1201 W VALENCIA DR SPACE 29
FULLERTON, CA 92833-3310
Phone number: 562-233-3994
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