TANNER COONE

SAN DIEGO, CA
NPI1801531538
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1461280322)
Enumeration Date2022-04-27
Last Update Date2022-04-27
Business Address
TANNER COONE RADT 1
4141 PACIFIC HWY
SAN DIEGO, CA 92110-2030
Phone number: 619-393-2052
Mailing Address
TANNER COONE RADT 1
4320 TRIAS ST
SAN DIEGO, CA 92103-1127
Phone number: 254-299-7555
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