VICTOR JEROME ALLEN

COLTON, CA
NPI1932227618
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-03-27
Last Update Date2007-07-08
Business Address
-- VICTOR JEROME ALLEN CATC 051081
1076 SANTO ANTONIO DR SUITE B
COLTON, CA 92324-8103
Phone number: 909-433-9824
Mailing Address
-- VICTOR JEROME ALLEN CATC 051081
901 E WASHINGTON ST APT # 431
COLTON, CA 92324-8133
Phone number: 909-783-6787