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1598014243
IMMANUEL KRISHNA
SACRAMENTO, CA
NPI
1598014243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-09-09
Last Update Date
2012-09-09
Business Address
-- IMMANUEL KRISHNA counselor
7600 GREENHAVEN DR
SACRAMENTO, CA 95831-5604
Phone number: 916-422-2556
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Mailing Address
-- IMMANUEL KRISHNA counselor
7600 GREENHAVEN DR
SACRAMENTO, CA 95831-5604
Phone number: 916-422-2556
Copy
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