DEREK BYNUM

SANTA MONICA, CA
NPI1821532557
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-12-15
Last Update Date2017-01-06
Business Address
-- DEREK BYNUM
907 PICO BLVD
SANTA MONICA, CA 90405-1326
Phone number: 310-314-6200
Mailing Address
-- DEREK BYNUM
907 PICO BLVD
SANTA MONICA, CA 90405-1326
Phone number: