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1639556673
ANDY BURL KELLEMS
COSTA MESA, CA
NPI
1639556673
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 081486)
Enumeration Date
2015-04-29
Last Update Date
2015-04-29
Business Address
-- ANDY BURL KELLEMS CADC
3151 AIRWAY AVE STE F107
COSTA MESA, CA 92626-4623
Phone number: 714-964-6730
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Mailing Address
-- ANDY BURL KELLEMS CADC
21062 BROOKHURST ST STE 201
HUNTINGTON BEACH, CA 92646-7404
Phone number: 714-964-6730
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