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1063545853
RICHARD V. RED LEAF
WOODLAND, CA
NPI
1063545853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 0504101521)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
-- RICHARD V. RED LEAF RAS
14 N COTTONWOOD ST
WOODLAND, CA 95695-2585
Phone number: 530-406-5190
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Mailing Address
-- RICHARD V. RED LEAF RAS
3150 22ND AVE
SACRAMENTO, CA 95820-1108
Phone number: 916-454-3637
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