BRIAN FOGELSTROM

VENICE, CA
NPI1841052313
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-01-29
Last Update Date2024-01-29
Business Address
BRIAN FOGELSTROM
503 OCEAN FRONT WALK
VENICE, CA 90291-2403
Phone number: 310-392-3070
Mailing Address
BRIAN FOGELSTROM
503 OCEAN FRONT WALK
VENICE, CA 90291-2403
Phone number: 310-392-3070
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