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1649045980
MIGUEL GEORGE TROY
BERKELEY, CA
NPI
1649045980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1528700923)
Enumeration Date
2023-11-16
Last Update Date
2023-12-08
Business Address
MIGUEL GEORGE TROY RADT-I
1820 SCENIC AVE
BERKELEY, CA 94709-1395
Phone number: 510-548-7270
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Mailing Address
MIGUEL GEORGE TROY RADT-I
1301 RICHMOND ST
EL CERRITO, CA 94530-2428
Phone number: 510-725-7346
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