WAYLON DON KRENECK

SANTA ANA, CA
NPI1790520898
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1517200823)
Enumeration Date2024-06-28
Last Update Date2024-06-28
Business Address
WAYLON DON KRENECK RADT-1, PSS
1207 E FRUIT ST
SANTA ANA, CA 92701-4296
Phone number: 760-487-3600
Mailing Address
WAYLON DON KRENECK RADT-1, PSS
9626 BONITA VISTA ST
APPLE VALLEY, CA 92308-9099
Phone number: 760-905-7290
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