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1386181337
MARK YANCEY
ROSEVILLE, CA
NPI
1386181337
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Aii15590316)
Enumeration Date
2017-01-30
Last Update Date
2022-02-14
Business Address
MARK YANCEY CADCII
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
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Mailing Address
MARK YANCEY CADCII
2701 DEL PASO RD # 130-250
SACRAMENTO, CA 95835-2305
Phone number: 916-914-5012
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