JUSTIN GREGORY ROSS

VISTA, CA
NPI1710536164
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  CI16710518)
Enumeration Date2019-09-09
Last Update Date2019-09-09
Business Address
JUSTIN GREGORY ROSS
1211 W VISTA WAY BLDG C
VISTA, CA 92083-6227
Phone number: 760-721-2781
Mailing Address
JUSTIN GREGORY ROSS
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: