JONATHAN RYAN MAH

GRASS VALLEY, CA
NPI1124905484
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1623720725)
Enumeration Date2025-08-19
Last Update Date2025-08-19
Business Address
JONATHAN RYAN MAH RADT
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-273-9541
Mailing Address
JONATHAN RYAN MAH RADT
406 SUNRISE AVE STE 105
ROSEVILLE, CA 95661-4145
Phone number:
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