CRYSTAL MARIE DEATHERAGE

ESCONDIDO, CA
NPI1689166969
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-06-03
Last Update Date2020-10-21
Business Address
CRYSTAL MARIE DEATHERAGE
1341 N ESCONDIDO BLVD
ESCONDIDO, CA 92026-2507
Phone number: 760-844-7314
Mailing Address
CRYSTAL MARIE DEATHERAGE
1341 N ESCONDIDO BLVD
ESCONDIDO, CA 92026-2507
Phone number: 760-844-4317
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