DEREK BOURDESS

SANTA CLARITA, CA
NPI1760959597
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-10-30
Last Update Date2018-10-30
Business Address
DEREK BOURDESS
24460 LYONS AVE
SANTA CLARITA, CA 91321-2347
Phone number: 661-253-9400
Mailing Address
DEREK BOURDESS
6802 JELLICO AVE
VAN NUYS, CA 91406-4334
Phone number: 747-242-4114
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