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1508696691
JEREMIAH FISHER
RESEDA, CA
NPI
1508696691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1564070624)
Enumeration Date
2024-08-05
Last Update Date
2024-08-05
Business Address
JEREMIAH FISHER RADT-I
7232 CANBY AVE STE 4.56
RESEDA, CA 91335-3006
Phone number: 818-705-5561
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Mailing Address
JEREMIAH FISHER RADT-I
7232 CANBY AVE STE 456
RESEDA, CA 91335-3006
Phone number: 818-705-5561
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