EDWIN ADAN BALLESTEROS

SAN FERNANDO, CA
NPI1821963307
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  22610)
Enumeration Date2025-10-06
Last Update Date2025-10-06
Business Address
EDWIN ADAN BALLESTEROS
762 GRISWOLD AVE
SAN FERNANDO, CA 91340-2105
Phone number: 747-500-9405
Mailing Address
EDWIN ADAN BALLESTEROS
762 GRISWOLD AVE
SAN FERNANDO, CA 91340-2105
Phone number: 747-500-9405
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