CORNELIUS VAN

LOS ANGELES, CA
NPI1588301956
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-05-17
Last Update Date2022-05-17
Business Address
CORNELIUS VAN Counselor
515 E 6TH ST
LOS ANGELES, CA 90021-1009
Phone number: 805-760-8231
Mailing Address
CORNELIUS VAN Counselor
515 E 6TH ST
LOS ANGELES, CA 90021-1009
Phone number:
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