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1588181747
LUIS VALLE
GLENDALE, CA
NPI
1588181747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 10847-R)
Enumeration Date
2017-08-28
Last Update Date
2022-06-21
Business Address
LUIS VALLE
4544 SAN FERNANDO RD STE 201
GLENDALE, CA 91204-5015
Phone number: 818-240-8843
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Mailing Address
LUIS VALLE
4544 SAN FERNANDO RD
GLENDALE, CA 91204-1987
Phone number: 818-240-8843
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