SHANE T. CHESTNUT

OCEANSIDE, CA
NPI1710052048
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2006-11-21
Last Update Date2007-07-08
Business Address
Mr. SHANE T. CHESTNUT B.A.
321 CASSIDY ST
OCEANSIDE, CA 92054-5314
Phone number: 760-721-2171
Mailing Address
Mr. SHANE T. CHESTNUT B.A.
321 CASSIDY ST
OCEANSIDE, CA 92054-5314
Phone number: 760-721-2171