TODD WALL

COLTON, CA
NPI1851986699
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  A016670315)
Enumeration Date2021-03-03
Last Update Date2021-03-03
Business Address
-- TODD WALL CADC II
23950 PRADO LN
COLTON, CA 92324-9734
Phone number: 909-514-1958
Mailing Address
-- TODD WALL CADC II
23950 PRADO LN
COLTON, CA 92324-9734
Phone number: 909-514-1958
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