JOHN DAVID DEROSA

LONG BEACH, CA
NPI1750636643
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  A7071011)
Enumeration Date2012-07-17
Last Update Date2012-07-17
Business Address
JOHN DAVID DEROSA B.S., CADCII
100 E MARKET ST
LONG BEACH, CA 90805-5924
Phone number: 562-428-4222
Mailing Address
JOHN DAVID DEROSA B.S., CADCII
100 E MARKET ST
LONG BEACH, CA 90805-5924
Phone number: 562-428-4222
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