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1164781225
KELLY HENCKEL
SANTA BARBARA, CA
NPI
1164781225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-05-10
Last Update Date
2012-05-10
Business Address
-- KELLY HENCKEL
4129 STATE ST
SANTA BARBARA, CA 93110-1848
Phone number: 805-964-4795
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Mailing Address
-- KELLY HENCKEL
107 S SOLEDAD ST
SANTA BARBARA, CA 93103-3530
Phone number:
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