CHAD BEVILACQUA

HEMET, CA
NPI1699950725
Former NameCHAD BEVILACQUA
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  CAS)
Enumeration Date2008-01-08
Last Update Date2008-01-08
Business Address
-- CHAD BEVILACQUA
40329 STETSON AVE
HEMET, CA 92544-7358
Phone number: 951-658-4466
Mailing Address
-- CHAD BEVILACQUA
600 3RD ST
LAKE ELSINORE, CA 92530-2748
Phone number: 951-674-5354
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