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1235672924
JIMMY FREITAS
SAN MATEO, CA
NPI
1235672924
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 9432-R)
Enumeration Date
2016-11-29
Last Update Date
2016-11-29
Business Address
-- JIMMY FREITAS 9432-R CAADE
720 S B ST
SAN MATEO, CA 94401-4245
Phone number: 650-579-7157
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Mailing Address
-- JIMMY FREITAS 9432-R CAADE
720 S B ST
SAN MATEO, CA 94401-4245
Phone number: 650-579-7157
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