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1407454697
ADRIANA ELENA TISDALE
CHULA VISTA, CA
NPI
1407454697
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-10-11
Last Update Date
2020-10-11
Business Address
ADRIANA ELENA TISDALE
1180 THIRD AVE STE C3
CHULA VISTA, CA 91911-3139
Phone number: 619-691-8164
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Mailing Address
ADRIANA ELENA TISDALE
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number:
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