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1003654583
ROBIN NELSON
REDDING, CA
NPI
1003654583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 18690)
Enumeration Date
2024-07-18
Last Update Date
2024-11-19
Business Address
ROBIN NELSON
2640 BRESLAUER WAY
REDDING, CA 96001-4246
Phone number: 530-225-5900
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Mailing Address
ROBIN NELSON
1147 HARTNELL AVE
REDDING, CA 96002-2113
Phone number: 530-222-7213
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