JOHNNY ROBERT SMILIE

LANCASTER, CA
NPI1740704030
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  8484-R)
Enumeration Date2017-07-28
Last Update Date2017-07-28
Business Address
JOHNNY ROBERT SMILIE AA/ AOD intern
44447 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 661-726-2630
Mailing Address
JOHNNY ROBERT SMILIE AA/ AOD intern
44447 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 661-674-7503