RYAN CHARLES LONGWORTH

SAN DIEGO, CA
NPI1740157742
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-10-22
Last Update Date2025-10-22
Business Address
RYAN CHARLES LONGWORTH
835 25TH ST
SAN DIEGO, CA 92102-2738
Phone number: 619-239-9691
Mailing Address
RYAN CHARLES LONGWORTH
835 25TH ST
SAN DIEGO, CA 92102-2738
Phone number: 619-239-9691