TERRIE KHAMMAO

SAN DIEGO, CA
NPI1972348670
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  17990)
Enumeration Date2024-06-26
Last Update Date2024-06-26
Business Address
TERRIE KHAMMAO
4161 MARLBOROUGH AVE
SAN DIEGO, CA 92105-1412
Phone number: 619-282-7274
Mailing Address
TERRIE KHAMMAO
4161 MARLBOROUGH AVE
SAN DIEGO, CA 92105-1412
Phone number: