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1225909005
MICHAEL EVERETT
LAKE VIEW TERRACE, CA
NPI
1225909005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1617020625)
Enumeration Date
2025-09-15
Last Update Date
2025-09-15
Business Address
-- MICHAEL EVERETT RADT
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342-6506
Phone number: 818-686-3000
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Mailing Address
-- MICHAEL EVERETT RADT
20678 LEMAY ST
WINNETKA, CA 91306-4027
Phone number: 818-641-2149
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