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1063031722
BRYANT JAKE WILLIAMS
REDDING, CA
NPI
1063031722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Ci29270320)
Enumeration Date
2020-04-13
Last Update Date
2020-04-13
Business Address
BRYANT JAKE WILLIAMS
1616 WEST ST
REDDING, CA 96001-1726
Phone number: 530-244-7074
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Mailing Address
BRYANT JAKE WILLIAMS
1237 CALIFORNIA ST
REDDING, CA 96001-0618
Phone number: 530-243-7470
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