TONY MITH

LONG BEACH, CA
NPI1578916805
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  167486)
Enumeration Date2016-07-21
Last Update Date2016-07-21
Business Address
Mr. TONY MITH
2501 ATLANTIC AVE
LONG BEACH, CA 90806-2708
Phone number: 562-424-6105
Mailing Address
Mr. TONY MITH
677 E PENFOLD ST
LONG BEACH, CA 90805-1431
Phone number: 562-424-6105
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