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1639712821
KRISTIN CANEDO
FOUNTAIN VALLEY, CA
NPI
1639712821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 5819)
Enumeration Date
2019-10-21
Last Update Date
2019-10-21
Business Address
KRISTIN CANEDO
16490 HARBOR BLVD
FOUNTAIN VALLEY, CA 92708-1375
Phone number: 504-982-7130
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Mailing Address
KRISTIN CANEDO
162 ROCHESTER ST UNIT B
COSTA MESA, CA 92627-3009
Phone number: 504-982-7130
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