KENNETH LOVE

SAN JOSE, CA
NPI1912233313
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-10-20
Last Update Date2009-10-20
Business Address
-- KENNETH LOVE
90 GREAT OAKS BLVD 108
SAN JOSE, CA 95119-1314
Phone number: 408-281-0708
Mailing Address
-- KENNETH LOVE
90 GREAT OAKS BLVD 108
SAN JOSE, CA 95119-1314
Phone number: 408-281-0708
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