KY WASHINGTON

NATIONAL CITY, CA
NPI1538760871
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-11-03
Last Update Date2020-11-03
Business Address
KY WASHINGTON LAADC
1625 SWEETWATER RD # C1
NATIONAL CITY, CA 91950-7647
Phone number: 619-829-7899
Mailing Address
KY WASHINGTON LAADC
PO BOX 390178
SAN DIEGO, CA 92149-0178
Phone number: 619-829-7899
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