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1568868461
BRENT DAVID CHUMPITAZI
ANAHEIM, CA
NPI
1568868461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 82149)
Enumeration Date
2014-11-05
Last Update Date
2014-11-05
Business Address
Mr. BRENT DAVID CHUMPITAZI M.S.
711 E BALL RD 201
ANAHEIM, CA 92805-5930
Phone number: 714-254-8473
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Mailing Address
Mr. BRENT DAVID CHUMPITAZI M.S.
4701 WARNER AVE 314
HUNTINGTON BEACH, CA 92649-5024
Phone number: 714-487-8320
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