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1154748820
TERESA MASSINGILL
CLEARLAKE, CA
NPI
1154748820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RI-M1311251251)
Enumeration Date
2014-03-19
Last Update Date
2014-03-19
Business Address
-- TERESA MASSINGILL
7000B S CENTER DR
CLEARLAKE, CA 95422-8131
Phone number: 707-994-6494
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Mailing Address
-- TERESA MASSINGILL
7000B S CENTER DR
CLEARLAKE, CA 95422-8131
Phone number: 707-994-6494
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