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1396140265
TIMOTHY JAMES HUTSON
SAN PEDRO, CA
NPI
1396140265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA H0906261427)
Enumeration Date
2014-11-04
Last Update Date
2014-11-04
Business Address
-- TIMOTHY JAMES HUTSON MCA
624 W 9TH ST SUITE 103
SAN PEDRO, CA 90731-3158
Phone number: 310-938-4575
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Mailing Address
-- TIMOTHY JAMES HUTSON MCA
1409 WHITE OAK CIR
OJAI, CA 93023-1931
Phone number: 310-940-0017
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