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1245017193
JOSHUA CLINTON POWELL
FRESNO, CA
NPI
1245017193
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 16126)
Enumeration Date
2023-09-13
Last Update Date
2023-09-13
Business Address
JOSHUA CLINTON POWELL CADTP 16126
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706-1225
Phone number: 559-264-5096
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Mailing Address
JOSHUA CLINTON POWELL CADTP 16126
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706-1225
Phone number: 559-264-5096
Copy
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