ANDREA CLARK CARMONA

TRABUCO CANYON, CA
NPI1740889880
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  Ci29070220)
Enumeration Date2020-10-20
Last Update Date2020-10-20
Business Address
ANDREA CLARK CARMONA CADC I
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Phone number: 818-582-8832
Mailing Address
ANDREA CLARK CARMONA CADC I
142 WILD HORSE LOOP
RANCHO SANTA MARGARITA, CA 92688-1805
Phone number: 801-310-9227