DENNIS MITCHELL POUPART

SACRAMENTO, CA
NPI1366953408
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  CI20871018)
Enumeration Date2017-10-17
Last Update Date2019-05-28
Business Address
DENNIS MITCHELL POUPART RADT
1820 J ST
SACRAMENTO, CA 95811-3010
Phone number: 916-313-8434
Mailing Address
DENNIS MITCHELL POUPART RADT
1820 J ST
SACRAMENTO, CA 95811-3010
Phone number:
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