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1003543653
CLARISSA ADRIANA ORTEGA
SAN LEANDRO, CA
NPI
1003543653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 13468)
Enumeration Date
2022-08-03
Last Update Date
2022-08-03
Business Address
CLARISSA ADRIANA ORTEGA SUDRC
2035 FAIRMONT DR
SAN LEANDRO, CA 94578-1088
Phone number: 510-346-3836
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Mailing Address
CLARISSA ADRIANA ORTEGA SUDRC
2035 FAIRMONT DR
SAN LEANDRO, CA 94578-1088
Phone number: 510-346-7836
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