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1508498189
GRANT ANDERSON
EUREKA, CA
NPI
1508498189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 13488-R)
Enumeration Date
2020-02-11
Last Update Date
2020-02-11
Business Address
GRANT ANDERSON
1024 N ST
EUREKA, CA 95501-2047
Phone number: 707-269-9566
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Mailing Address
GRANT ANDERSON
PO BOX 6310
EUREKA, CA 95502-6310
Phone number: 707-443-4237
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