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1245073758
ALYSSA WHITAKER
FAIR OAKS, CA
NPI
1245073758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-06-13
Last Update Date
2024-06-13
Business Address
ALYSSA WHITAKER
8086 ORANGE AVE
FAIR OAKS, CA 95628-5941
Phone number: 916-200-9050
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Mailing Address
ALYSSA WHITAKER
20271 SW BIRCH ST
NEWPORT BEACH, CA 92660-1752
Phone number: 916-844-7833
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