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1124511597
MICHAEL CLEMENTS
REDLANDS, CA
NPI
1124511597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A050880118)
Enumeration Date
2018-06-11
Last Update Date
2018-06-11
Business Address
MICHAEL CLEMENTS CADC II A050880118
1971 ESSEX CT
REDLANDS, CA 92373-8057
Phone number: 415-695-4114
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Mailing Address
MICHAEL CLEMENTS CADC II A050880118
25612 BARTON RD # 286
LOMA LINDA, CA 92354-3110
Phone number: 800-474-4848
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