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1548738891
RICKY REYNALDO REYES
GLENDALE, CA
NPI
1548738891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 7429)
Enumeration Date
2018-11-05
Last Update Date
2018-11-05
Business Address
Mr. RICKY REYNALDO REYES
4544 SAN FERNANDO RD STE 201
GLENDALE, CA 91204-5015
Phone number: 818-240-8843
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Mailing Address
Mr. RICKY REYNALDO REYES
4544 SAN FERNANDO RD STE 201
GLENDALE, CA 91204-5015
Phone number: 818-240-8843
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