JONATHAN A COREA

AUBURN, CA
NPI1861910523
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1260230817)
Enumeration Date2017-09-01
Last Update Date2017-09-01
Business Address
JONATHAN A COREA RADT
12183 LOCKSLEY LN STE 101
AUBURN, CA 95602-2050
Phone number: 503-885-1961
Mailing Address
JONATHAN A COREA RADT
12183 LOCKSLEY LN STE 101
AUBURN, CA 95602-2050
Phone number: