GLENN JOSE DELEON

PASADENA, CA
NPI1801301650
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-12-01
Last Update Date2017-12-01
Business Address
GLENN JOSE DELEON
1680 N FAIR OAKS AVE
PASADENA, CA 91103-1642
Phone number: 626-798-0884
Mailing Address
GLENN JOSE DELEON
15636 AMAR RD APT G
LA PUENTE, CA 91744-2917
Phone number: 949-204-6204
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