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1205339751
ILENA MARIE SHORTT
REDDING, CA
NPI
1205339751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C03360116)
Enumeration Date
2018-03-12
Last Update Date
2018-03-12
Business Address
ILENA MARIE SHORTT CADC-CAS
1506 MARKET ST
REDDING, CA 96001-1023
Phone number: 530-245-6411
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Mailing Address
ILENA MARIE SHORTT CADC-CAS
1506 MARKET ST
REDDING, CA 96001-1023
Phone number: 530-245-6411
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