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1336290485
MICHAEL ANDRADE
CLEARLAKE, CA
NPI
1336290485
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RI-A0612181235)
Enumeration Date
2007-01-16
Last Update Date
2007-07-08
Business Address
-- MICHAEL ANDRADE
7000-B SOUTH CENTER DR
CLEARLAKE, CA 95422
Phone number: 707-994-6494
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Mailing Address
-- MICHAEL ANDRADE
PO BOX 1560
CLEARLAKE, CA 95422
Phone number:
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