Individual
MR. ANTHONY JOHN DEMANGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CATC
Contact information
Practice address
140 ARBOR DR, SAN DIEGO, CA 92103-2007
(619) 543-6095
Mailing address
140 ARBOR DR, SAN DIEGO, CA 92103-2007
(619) 543-6095
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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