WADE TYRONE CROWELL

LANCASTER, CA
NPI1609744952
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1587951124)
Enumeration Date2025-10-28
Last Update Date2025-10-30
Business Address
WADE TYRONE CROWELL RADT
44459 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 661-726-2630
Mailing Address
WADE TYRONE CROWELL RADT
38000 17TH ST E APT 19
PALMDALE, CA 93550-5103
Phone number: 661-648-3374