DWAYNE RUSSELL DORE

REDDING, CA
NPI1225604168
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  A05120315)
Enumeration Date2021-06-01
Last Update Date2021-06-01
Business Address
DWAYNE RUSSELL DORE CADCII
376 HARTNELL AVE STE A
REDDING, CA 96002-1881
Phone number: 530-999-2626
Mailing Address
DWAYNE RUSSELL DORE CADCII
376 HARTNELL AVE STE A
REDDING, CA 96002-1881
Phone number: 530-999-2626
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