KENNETH GLADSTONE

EL CAJON, CA
NPI1982021218
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-03-25
Last Update Date2014-04-04
Business Address
-- KENNETH GLADSTONE
1365 N JOHNSON AVE STE 111
EL CAJON, CA 92020-1649
Phone number: 619-440-4801
Mailing Address
-- KENNETH GLADSTONE
1365 N JOHNSON AVE STE 111
EL CAJON, CA 92020-1649
Phone number: 619-440-4801