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1033323787
PETER FAJARDO
LONG BEACH, CA
NPI
1033323787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 9223)
Enumeration Date
2007-05-10
Last Update Date
2022-07-21
Business Address
Mr. PETER FAJARDO Substance Abuse Coun
2385 PACIFIC AVENUE
LONG BEACH, CA 90806
Phone number: 562-336-1400
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Mailing Address
Mr. PETER FAJARDO Substance Abuse Coun
P.O. BOX 9463
LONG BEACH, CA 90810
Phone number: 310-634-9039
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