EDWARD DISHART

SACRAMENTO, CA
NPI1154102358
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  15471)
Enumeration Date2023-10-12
Last Update Date2023-10-12
Business Address
EDWARD DISHART
3600 POWER INN RD
SACRAMENTO, CA 95826-3826
Phone number: 916-450-0700
Mailing Address
EDWARD DISHART
3600 POWER INN RD
SACRAMENTO, CA 95826-3826
Phone number: 916-450-0700
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