MICHAEL LEDELL STEPHEN

SAN DIEGO, CA
NPI1831715697
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-06-17
Last Update Date2020-06-17
Business Address
MICHAEL LEDELL STEPHEN RADT
4141 PACIFIC HWY
SAN DIEGO, CA 92110-2030
Phone number: 619-393-2000
Mailing Address
MICHAEL LEDELL STEPHEN RADT
602 JUDSON ST
ESCONDIDO, CA 92027-4022
Phone number: 901-605-2676
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