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1578857876
MELISSA RENE LARSON
CHULA VISTA, CA
NPI
1578857876
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Former Name
MELISSA RENE ATKINS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-06-03
Last Update Date
2015-01-02
Business Address
-- MELISSA RENE LARSON CADAC-CAS
1172 3RD AVE
CHULA VISTA, CA 91911-3116
Phone number: 619-691-1662
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Mailing Address
-- MELISSA RENE LARSON CADAC-CAS
1172 3RD AVE
CHULA VISTA, CA 91911-3116
Phone number: 619-691-1662
Copy
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