DERRICK B HARVEY

LAKE ELSINORE, CA
NPI1942326434
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  C.A.S.)
Enumeration Date2007-03-22
Last Update Date2007-07-08
Business Address
Mr. DERRICK B HARVEY
565 CHANEY ST
LAKE ELSINORE, CA 92530-2722
Phone number: 951-674-5354
Mailing Address
Mr. DERRICK B HARVEY
565 CHANEY ST
LAKE ELSINORE, CA 92530-2722
Phone number: 951-674-5354
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