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1245757434
BRETT DIETTINGER
SANTA MARIA, CA
NPI
1245757434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 1335631)
Enumeration Date
2017-08-28
Last Update Date
2022-07-21
Business Address
BRETT DIETTINGER
1414 S MILLER ST
SANTA MARIA, CA 93454-6923
Phone number: 805-739-1512
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Mailing Address
BRETT DIETTINGER
1414 S MILLER ST
SANTA MARIA, CA 93454-6923
Phone number: 805-739-1512
Copy
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