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1225620479
JOHNNY PEARSON
BREA, CA
NPI
1225620479
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RH0006150121)
Enumeration Date
2021-02-09
Last Update Date
2021-02-09
Business Address
JOHNNY PEARSON RADT
1153 DELAY ST
BREA, CA 92821-1913
Phone number: 714-757-4266
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Mailing Address
JOHNNY PEARSON RADT
527 S ARCHER ST
ANAHEIM, CA 92804-2421
Phone number: 657-456-0261
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