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1184758146
JOHN BILICH
SANTA ROSA, CA
NPI
1184758146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 4900301120)
Enumeration Date
2007-03-14
Last Update Date
2014-06-26
Business Address
-- JOHN BILICH
1300 CODDINGTOWN CTR
SANTA ROSA, CA 95401-3537
Phone number: 707-565-7649
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Mailing Address
-- JOHN BILICH
1300 CODDINGTOWN CTR
SANTA ROSA, CA 95401-3537
Phone number: 707-565-7649
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