CHARLES LEROY SCRIVENS

NATIONAL CITY, CA
NPI1922647288
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-01-03
Last Update Date2020-01-03
Business Address
Mr. CHARLES LEROY SCRIVENS
2340 E 8TH ST
NATIONAL CITY, CA 91950-2869
Phone number: 619-232-9343
Mailing Address
Mr. CHARLES LEROY SCRIVENS
2340 E 8TH ST
NATIONAL CITY, CA 91950-2869
Phone number: 619-232-9343
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