TERRELL KORNEGAY

LONG BEACH, CA
NPI1689981128
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2010-09-03
Last Update Date2010-09-03
Business Address
TERRELL KORNEGAY
337 ATLANTIC AVE
LONG BEACH, CA 90802-2554
Phone number: 310-997-6397
Mailing Address
TERRELL KORNEGAY
337 ATLANTIC AVE
LONG BEACH, CA 90802-2554
Phone number: 310-997-6397
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