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1659431757
ANDI M GLETTY
CLEARLAKE, CA
NPI
1659431757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A3773397)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
-- ANDI M GLETTY CADCII A3773397
15145A LAKESHORE DRIVE LAKE COUNTY MENTAL HEALTH
CLEARLAKE, CA 95422
Phone number: 707-994-7090
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Mailing Address
-- ANDI M GLETTY CADCII A3773397
10899 NORTH SLOPE DRIVE
KELSEYVILLE, CA 95451
Phone number: 707-994-7090
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