JIMMY RICHARD DETELS

SAN FRANCISCO, CA
NPI1730387234
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-07-05
Last Update Date2007-07-08
Business Address
-- JIMMY RICHARD DETELS
134 GOLDEN GATE AVE
SAN FRANCISCO, CA 94102-3810
Phone number: 415-673-5700
Mailing Address
-- JIMMY RICHARD DETELS
134 GOLDEN GATE AVE
SAN FRANCISCO, CA 94102-3810
Phone number: 415-673-5700
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