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1396400404
JOSHUA RUSSELL RAY
UKIAH, CA
NPI
1396400404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-11-03
Last Update Date
2021-11-03
Business Address
JOSHUA RUSSELL RAY
201 BRUSH ST
UKIAH, CA 95482-3424
Phone number: 707-462-6290
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Mailing Address
JOSHUA RUSSELL RAY
201 BRUSH ST
UKIAH, CA 95482-3424
Phone number: 707-462-6290
Copy
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