KEITH EVERAGE

LOS ANGELES, CA
NPI1730378266
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  7222)
Enumeration Date2007-10-22
Last Update Date2007-10-22
Business Address
-- KEITH EVERAGE
11502 S VERMONT AVE # D
LOS ANGELES, CA 90044-6522
Phone number: 323-755-2742
Mailing Address
-- KEITH EVERAGE
8306 WILSHIRE BLVD #7024
BEVERLY HILLS, CA 90211-2304
Phone number: 323-755-2742
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