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1548644115
ILLESHA DAVIES
SACRAMENTO, CA
NPI
1548644115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 5877)
Enumeration Date
2015-07-14
Last Update Date
2021-03-04
Business Address
ILLESHA DAVIES
310 HARRIS AVE STE A
SACRAMENTO, CA 95838-3249
Phone number: 916-649-6793
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Mailing Address
ILLESHA DAVIES
2218 E ST
SACRAMENTO, CA 95816-3511
Phone number: 916-442-4519
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