FREDERICK GAITHER

SAN DIEGO, CA
NPI1881178788
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-09-18
Last Update Date2018-09-18
Business Address
Mr. FREDERICK GAITHER
2970 MARKET ST
SAN DIEGO, CA 92102-3241
Phone number: 619-236-9492
Mailing Address
Mr. FREDERICK GAITHER
2970 MARKET ST
SAN DIEGO, CA 92102-3241
Phone number: