TIMOTHY JOHN HALLER

DESERT HOT SPRINGS, CA
NPI1770035297
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-11-01
Last Update Date2016-11-01
Business Address
Mr. TIMOTHY JOHN HALLER RADT-1, D.D.
7885 ANNANDALE AVE
DESERT HOT SPRINGS, CA 92240-1419
Phone number: 760-329-2924
Mailing Address
Mr. TIMOTHY JOHN HALLER RADT-1, D.D.
66610 12TH ST
DESERT HOT SPRINGS, CA 92240-2541
Phone number: 760-329-2924