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1467224204
CODY RYAN BLAIR
SANTA ANA, CA
NPI
1467224204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 1376254755)
Enumeration Date
2023-10-25
Last Update Date
2023-11-07
Business Address
Mr. CODY RYAN BLAIR MA, CADTP
902 N GRAND AVE STE 204
SANTA ANA, CA 92701-4218
Phone number: 918-282-2193
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Mailing Address
Mr. CODY RYAN BLAIR MA, CADTP
902 N GRAND AVE STE 204
SANTA ANA, CA 92701-4218
Phone number: 714-477-4605
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