JOHNELL DEVAUGHNE WORTHY

SAN FRANCISCO, CA
NPI1831309483
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
Mr. JOHNELL DEVAUGHNE WORTHY B.A
2544 SAN JOSE AVE
SAN FRANCISCO, CA 94112-3120
Phone number: 415-756-7768
Mailing Address
Mr. JOHNELL DEVAUGHNE WORTHY B.A
2544 SAN JOSE AVE
SAN FRANCISCO, CA 94112-3120
Phone number: 415-756-7768