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1255958187
DOUGLAS BENJAMIN GUDEMAN
SACRAMENTO, CA
NPI
1255958187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-06-26
Last Update Date
2020-06-26
Business Address
DOUGLAS BENJAMIN GUDEMAN
ALTERNATIVE HOUSE-RESIDENTIAL TREATMENT CENTER 1550 JULIESSE AVENUE
SACRAMENTO, CA 95815
Phone number: 916-737-5555
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Mailing Address
DOUGLAS BENJAMIN GUDEMAN
PO BOX 593
ALTA, CA 95701-0593
Phone number: 530-368-1998
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