COURTNEY ALEXIS CRISOSTOMO

TRABUCO CANYON, CA
NPI1992306070
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1403940920)
Enumeration Date2020-11-04
Last Update Date2020-12-31
Business Address
COURTNEY ALEXIS CRISOSTOMO RADT
20331 FLANAGAN RD.
TRABUCO CANYON, CA 92679
Phone number: 818-582-8832
Mailing Address
COURTNEY ALEXIS CRISOSTOMO RADT
8142 ELMORE WAY APT 5
MIDWAY CITY, CA 92655-1565
Phone number: 714-414-3071