KEITH ROBERT DICKSON

SUN VALLEY, CA
NPI1245967611
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1445300921)
Enumeration Date2022-08-04
Last Update Date2022-08-04
Business Address
KEITH ROBERT DICKSON RADT
8140 SUNLAND BLVD
SUN VALLEY, CA 91352-3948
Phone number: 818-582-8832
Mailing Address
KEITH ROBERT DICKSON RADT
1844 N ALTADENA DR
PASADENA, CA 91107-1047
Phone number: 626-710-5989
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