TIMOTHY PONTICELLI BROWN

PASADENA, CA
NPI1821825597
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-09-17
Last Update Date2024-09-17
Business Address
TIMOTHY PONTICELLI BROWN
1680 N FAIR OAKS AVE
PASADENA, CA 91103-1642
Phone number: 626-798-0884
Mailing Address
TIMOTHY PONTICELLI BROWN
1680 N FAIR OAKS AVE
PASADENA, CA 91103-1642
Phone number: 626-798-0884