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1639442098
DEREK MICHAEL BISSON
SAN DIEGO, CA
NPI
1639442098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 1711890)
Enumeration Date
2012-02-15
Last Update Date
2019-11-22
Business Address
DEREK MICHAEL BISSON CATC
7545 METROPOLITAN DR
SAN DIEGO, CA 92108-4402
Phone number: 619-718-9890
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Mailing Address
DEREK MICHAEL BISSON CATC
7545 METROPOLITAN DR
SAN DIEGO, CA 92108-4402
Phone number: 619-718-9890
Copy
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