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1083230486
LIZETT CAMACHO
SANTA ROSA, CA
NPI
1083230486
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RH000347019)
Enumeration Date
2020-06-22
Last Update Date
2020-06-22
Business Address
LIZETT CAMACHO
145O NEOTOMAS AVENUE SUITE 200
SANTA ROSA, CA 95405
Phone number: 707-280-2875
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Mailing Address
LIZETT CAMACHO
1450 NEOTOMAS AVE STE 200
SANTA ROSA, CA 95405-7574
Phone number: 707-280-2875
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