ANDY BURL KELLEMS

COSTA MESA, CA
NPI1639556673
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  081486)
Enumeration Date2015-04-29
Last Update Date2015-04-29
Business Address
-- ANDY BURL KELLEMS CADC
3151 AIRWAY AVE STE F107
COSTA MESA, CA 92626-4623
Phone number: 714-964-6730
Mailing Address
-- ANDY BURL KELLEMS CADC
21062 BROOKHURST ST STE 201
HUNTINGTON BEACH, CA 92646-7404
Phone number: 714-964-6730
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