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1043099971
MATTHEW COLMAN MCCLUSKEY
PLACERVILLE, CA
NPI
1043099971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1514310723)
Enumeration Date
2023-09-28
Last Update Date
2023-09-28
Business Address
MATTHEW COLMAN MCCLUSKEY RADT-1
2844 COLOMA ST
PLACERVILLE, CA 95667-4406
Phone number: 530-333-9460
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Mailing Address
MATTHEW COLMAN MCCLUSKEY RADT-1
2945 BELL RD # 214
AUBURN, CA 95603-2540
Phone number: 916-208-2259
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