STEPHEN R COLESTOCK

BLYTHE, CA
NPI1750150058
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-12-27
Last Update Date2024-01-01
Business Address
STEPHEN R COLESTOCK
9826 18TH AVE
BLYTHE, CA 92225-9229
Phone number: 760-922-8625
Mailing Address
STEPHEN R COLESTOCK
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number: 760-886-5003
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