KEVIN SHAW

STANTON, CA
NPI1851885362
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-06-18
Last Update Date2021-12-17
Business Address
KEVIN SHAW
10751 DALE AVE
STANTON, CA 90680-2604
Phone number: 714-821-5311
Mailing Address
KEVIN SHAW
10751 DALE AVE
STANTON, CA 90680-2604
Phone number: 714-821-5311