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1134987225
CHESSLEY COREY PLEAKE
FAIR OAKS, CA
NPI
1134987225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1397140720)
Enumeration Date
2024-03-12
Last Update Date
2024-03-12
Business Address
CHESSLEY COREY PLEAKE RADT
8086 ORANGE AVE
FAIR OAKS, CA 95628-5941
Phone number: 916-400-4369
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Mailing Address
CHESSLEY COREY PLEAKE RADT
20271 SW BIRCH ST
NEWPORT BEACH, CA 92660-1752
Phone number:
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