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1356494769
RICHARD CORNELIUS
SAN BERNARDINO, CA
NPI
1356494769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 13154)
Enumeration Date
2007-01-19
Last Update Date
2022-07-29
Business Address
Mr. RICHARD CORNELIUS SUDCC II
658 E BRIER DR STE 350
SAN BERNARDINO, CA 92408-2875
Phone number: 800-968-2636
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Mailing Address
Mr. RICHARD CORNELIUS SUDCC II
303 E VANDERBILT WAY
SAN BERNARDINO, CA 92415-0026
Phone number: 909-388-0801
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