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1417581919
RICHARD ALEX MENDOZA
REDDING, CA
NPI
1417581919
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Ci36711022)
Enumeration Date
2020-02-24
Last Update Date
2024-05-09
Business Address
RICHARD ALEX MENDOZA RADT1
1420 YUBA ST
REDDING, CA 96001-1032
Phone number: 530-225-5200
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Mailing Address
RICHARD ALEX MENDOZA RADT1
3617 RICARDO AVE
REDDING, CA 96002-2653
Phone number: 530-722-1114
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