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1548679566
JOHN THOMAS FREITAS
VALLEJO, CA
NPI
1548679566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA ri-f1311131600)
Enumeration Date
2014-08-04
Last Update Date
2014-08-04
Business Address
-- JOHN THOMAS FREITAS
1149 WARREN AVE
VALLEJO, CA 94591-7512
Phone number: 707-552-5295
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Mailing Address
-- JOHN THOMAS FREITAS
1149 WARREN AVE
VALLEJO, CA 94591-7512
Phone number: 707-552-5295
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