JOHN SMITH

GARDEN GROVE, CA
NPI1952127466
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1585691024)
Enumeration Date2024-11-29
Last Update Date2024-11-29
Business Address
JOHN SMITH R1585691024
12781 JOSEPHINE ST
GARDEN GROVE, CA 92841-4622
Phone number: 657-340-0788
Mailing Address
JOHN SMITH R1585691024
12781 JOSEPHINE ST
GARDEN GROVE, CA 92841-4622
Phone number: 657-340-0788
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