JOSEPH MARK GENTILE

SANTA CRUZ, CA
NPI1669718136
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  G1110092043)
Enumeration Date2013-01-02
Last Update Date2013-01-02
Business Address
JOSEPH MARK GENTILE
271 WATER ST
SANTA CRUZ, CA 95060-4009
Phone number: 831-427-5290
Mailing Address
JOSEPH MARK GENTILE
271 WATER ST
SANTA CRUZ, CA 95060-4009
Phone number: 831-427-5290
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