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1265172001
KATIA REYES
SANTA ROSA, CA
NPI
1265172001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 12246)
Enumeration Date
2022-03-30
Last Update Date
2022-03-30
Business Address
KATIA REYES
2403 PROFESSIONAL DR STE 101
SANTA ROSA, CA 95403-3007
Phone number: 707-544-3295
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Mailing Address
KATIA REYES
2403 PROFESSIONAL DR STE 101
SANTA ROSA, CA 95403-3007
Phone number: 707-544-3295
Copy
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