AUDRA NICOLE KOUROSMEHR

RIVERSIDE, CA
NPI1700570363
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-06-06
Last Update Date2023-09-13
Business Address
AUDRA NICOLE KOUROSMEHR
4750 PALM AVE
RIVERSIDE, CA 92501-4012
Phone number: 951-686-0021
Mailing Address
AUDRA NICOLE KOUROSMEHR
2743 ORANGE ST
RIVERSIDE, CA 92501-2538
Phone number: 951-788-9515