DEREK DAVIDSON

TARZANA, CA
NPI1548947070
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-06-27
Last Update Date2023-06-27
Business Address
DEREK DAVIDSON
18646 OXNARD ST
TARZANA, CA 91356-1486
Phone number: 818-996-1051
Mailing Address
DEREK DAVIDSON
18646 OXNARD ST
TARZANA, CA 91356-1486
Phone number:
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