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1326288523
MIKE PAUL VISCONTI
CHICO, CA
NPI
1326288523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RI-V0811190900)
Enumeration Date
2009-02-27
Last Update Date
2012-09-06
Business Address
Mr. MIKE PAUL VISCONTI RAS, CCDS
4133 HIGHWAY 32
CHICO, CA 95973
Phone number: 530-893-3698
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Mailing Address
Mr. MIKE PAUL VISCONTI RAS, CCDS
40 LANDING CR
CHICO, CA 95973
Phone number: 530-893-3698
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