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1568746352
LEONEL RIVAS
LAKE VIEW TERRACE, CA
NPI
1568746352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 10643)
Enumeration Date
2011-09-28
Last Update Date
2011-09-28
Business Address
-- LEONEL RIVAS
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342-6506
Phone number: 818-686-3000
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Mailing Address
-- LEONEL RIVAS
9009 LANGDON AVE APT. 10
NORTH HILLS, CA 91343-3981
Phone number: 818-416-8126
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