KATHERINE WELLS JACK

LOS ANGELES, CA
NPI1912696907
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-05-04
Last Update Date2023-05-04
Business Address
KATHERINE WELLS JACK
8831 VENICE BLVD
LOS ANGELES, CA 90034-3223
Phone number: 310-204-5200
Mailing Address
KATHERINE WELLS JACK
8831 VENICE BLVD
LOS ANGELES, CA 90034-3223
Phone number: 310-204-5200
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