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1154595668
JOEL LEE RYAN
VALLEJO, CA
NPI
1154595668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 081749)
Enumeration Date
2008-04-15
Last Update Date
2015-10-06
Business Address
Mr. JOEL LEE RYAN CATC
1149 WARREN AVE
VALLEJO, CA 94591-7512
Phone number: 707-552-5295
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Mailing Address
Mr. JOEL LEE RYAN CATC
1149 WARREN AVE
VALLEJO, CA 94591-7512
Phone number: 707-552-5295
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