JEROME TAYLOR

SAN DIEGO, CA
NPI1790514396
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  16790-rac)
Enumeration Date2024-07-31
Last Update Date2024-07-31
Business Address
JEROME TAYLOR
4141 PACIFIC HWY
SAN DIEGO, CA 92110-2030
Phone number: 760-628-4696
Mailing Address
JEROME TAYLOR
2815 GROVE ST
NATIONAL CITY, CA 91950-7606
Phone number: 760-628-4696
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