REGINALD KENT ANDERSON

LA MIRADA, CA
NPI1619470713
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  A022130316)
Enumeration Date2018-03-14
Last Update Date2018-03-14
Business Address
REGINALD KENT ANDERSON
14240 IMPERIAL HWY
LA MIRADA, CA 90638-1940
Phone number: 562-946-1587
Mailing Address
REGINALD KENT ANDERSON
14240 IMPERIAL HWY
LA MIRADA, CA 90638-1940
Phone number: 562-946-1587
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