TERRENCE SWANSON

VENTURA, CA
NPI1700379096
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  AII059410618)
Enumeration Date2018-06-11
Last Update Date2018-06-14
Business Address
TERRENCE SWANSON CADC II
125 W HARRISON AVE APT A
VENTURA, CA 93001
Phone number: 805-653-2596
Mailing Address
TERRENCE SWANSON CADC II
125 W HARRISON AVE APT A
VENTURA, CA 93001-5805
Phone number: 805-653-2596