BRAD TERRY

VICTORVILLE, CA
NPI1972963759
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1223870316)
Enumeration Date2016-03-07
Last Update Date2016-03-07
Business Address
-- BRAD TERRY
16248 VICTOR ST
VICTORVILLE, CA 92395-3934
Phone number: 760-243-7151
Mailing Address
-- BRAD TERRY
16248 VICTOR ST
VICTORVILLE, CA 92395-3934
Phone number: 760-243-7151