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1679298657
CHASEN MARK DREXEL
SACRAMENTO, CA
NPI
1679298657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1482680922)
Enumeration Date
2022-10-11
Last Update Date
2022-10-11
Business Address
Mr. CHASEN MARK DREXEL RADT-1
9012 EL CAJON WAY APT 2
SACRAMENTO, CA 95826-3328
Phone number: 916-579-8167
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Mailing Address
Mr. CHASEN MARK DREXEL RADT-1
1914 23RD ST
SACRAMENTO, CA 95816-7113
Phone number: 916-455-6258
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