JESSE GENE CAMPBELL

SAN DIMAS, CA
NPI1891271177
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-07-19
Last Update Date2018-07-19
Business Address
JESSE GENE CAMPBELL
740 N AMELIA AVE
SAN DIMAS, CA 91773-1700
Phone number: 909-506-5109
Mailing Address
JESSE GENE CAMPBELL
740 N AMELIA AVE
SAN DIMAS, CA 91773-1700
Phone number: 909-506-5109