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1083349765
TIMOTHY REGAN
REDDING, CA
NPI
1083349765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 13706)
Enumeration Date
2022-07-18
Last Update Date
2022-07-18
Business Address
TIMOTHY REGAN
1237 CALIFORNIA ST
REDDING, CA 96001-0618
Phone number: 530-243-7470
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Mailing Address
TIMOTHY REGAN
1237 CALIFORNIA ST
REDDING, CA 96001-0618
Phone number: 530-243-7470
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