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1174703763
MARTIN J LYTHGOE
VENTURA, CA
NPI
1174703763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A3553789)
Enumeration Date
2007-11-12
Last Update Date
2007-11-12
Business Address
Mr. MARTIN J LYTHGOE CADC II, NCAC II
4050 MARKET ST
VENTURA, CA 93003-5625
Phone number: 805-654-4122
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Mailing Address
Mr. MARTIN J LYTHGOE CADC II, NCAC II
2515 DOGWOOD DR
OXNARD, CA 93036-1513
Phone number: 805-377-7116
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