ANDRE EDERSON HAYNESWORTH PEREIRA

SAN DIEGO, CA
NPI1841886892
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  14400-RAC)
Enumeration Date2020-12-14
Last Update Date2020-12-14
Business Address
ANDRE EDERSON HAYNESWORTH PEREIRA
2980 CEDAR ST
SAN DIEGO, CA 92102-1599
Phone number: 619-239-7370
Mailing Address
ANDRE EDERSON HAYNESWORTH PEREIRA
2980 CEDAR ST
SAN DIEGO, CA 92102-1599
Phone number: 619-239-7370
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