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1093955684
MATT DYLAN BARNES
SACRAMENTO, CA
NPI
1093955684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 7200)
Enumeration Date
2009-02-23
Last Update Date
2009-02-23
Business Address
-- MATT DYLAN BARNES
1820 J ST
SACRAMENTO, CA 95811-3010
Phone number: 916-313-8417
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Mailing Address
-- MATT DYLAN BARNES
1508 E ST
SACRAMENTO, CA 95814-1605
Phone number:
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