LORI BOTHAM

ANAHEIM, CA
NPI1912450925
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-07-26
Last Update Date2016-07-26
Business Address
-- LORI BOTHAM
1700 W CERRITOS AVE UNIT 102
ANAHEIM, CA 92804-6176
Phone number: 714-992-4770
Mailing Address
-- LORI BOTHAM
1700 W CERRITOS AVE UNIT 102
ANAHEIM, CA 92804-6176
Phone number: