ANTONE YOHANN BRUMMUND

KINGMAN, AZ
NPI1669619359
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC-11438)
Enumeration Date2009-01-16
Last Update Date2014-11-04
Business Address
-- ANTONE YOHANN BRUMMUND MS, LISAC
3505 WESTERN AVE STE A
KINGMAN, AZ 86409-3074
Phone number: 928-757-8111
Mailing Address
-- ANTONE YOHANN BRUMMUND MS, LISAC
1743 SYCAMORE AVE
KINGMAN, AZ 86409-0927
Phone number: 928-757-8111