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1699950725
CHAD BEVILACQUA
HEMET, CA
NPI
1699950725
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Former Name
CHAD BEVILACQUA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA CAS)
Enumeration Date
2008-01-08
Last Update Date
2008-01-08
Business Address
-- CHAD BEVILACQUA
40329 STETSON AVE
HEMET, CA 92544-7358
Phone number: 951-658-4466
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Mailing Address
-- CHAD BEVILACQUA
600 3RD ST
LAKE ELSINORE, CA 92530-2748
Phone number: 951-674-5354
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