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1558846709
MARCEL JAMES SHADD
CITRUS HEIGHTS, CA
NPI
1558846709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 15808)
Enumeration Date
2018-10-03
Last Update Date
2024-02-28
Business Address
MARCEL JAMES SHADD Counselor 1
6400 TUPELO DR
CITRUS HEIGHTS, CA 95621-1741
Phone number: 916-729-3098
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Mailing Address
MARCEL JAMES SHADD Counselor 1
33 SAN PABLO AVE STE 505
SAN RAFAEL, CA 94903-4281
Phone number: 916-572-7641
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