JENNIE WYATT-COSTE

PACOIMA, CA
NPI1558751859
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  071607)
Enumeration Date2015-01-26
Last Update Date2015-01-26
Business Address
-- JENNIE WYATT-COSTE 071607
11643 GLENOAKS BLVD
PACOIMA, CA 91331-1050
Phone number: 818-897-2609
Mailing Address
-- JENNIE WYATT-COSTE 071607
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230-4820
Phone number: 310-390-6612
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