GLENN DOTY

COLTON, CA
NPI1811211832
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  C054600518)
Enumeration Date2010-03-19
Last Update Date2021-09-29
Business Address
GLENN DOTY
23950 PRADO LN
COLTON, CA 92324-9734
Phone number: 909-514-1958
Mailing Address
GLENN DOTY
23950 PRADO LN
COLTON, CA 92324-9734
Phone number: 909-514-1958
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