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1487076139
RAUL ROY STEPHENS
MARTINEZ, CA
NPI
1487076139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA CAADAC II 085065)
Enumeration Date
2014-01-15
Last Update Date
2014-01-15
Business Address
-- RAUL ROY STEPHENS CAADAC II
4645 PACHECO BLVD
MARTINEZ, CA 94553-3625
Phone number: 925-646-9270
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Mailing Address
-- RAUL ROY STEPHENS CAADAC II
1155 ARNOLD DR # 439C
MARTINEZ, CA 94553-6536
Phone number: 860-394-9037
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