WADE TAYLOR

VENICE, CA
NPI1851774913
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-07-07
Last Update Date2015-07-07
Business Address
-- WADE TAYLOR CADC-CAS
717 LINCOLN BLVD
VENICE, CA 90291-2845
Phone number: 310-399-9883
Mailing Address
-- WADE TAYLOR CADC-CAS
717 LINCOLN BLVD
VENICE, CA 90291-2845
Phone number: 310-399-9883
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