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1740779198
KELLY DAWN COUCH
REDDING, CA
NPI
1740779198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-05-01
Last Update Date
2019-10-21
Business Address
KELLY DAWN COUCH
1147 HARTNELL AVE
REDDING, CA 96002-2113
Phone number: 530-222-7213
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Mailing Address
KELLY DAWN COUCH
1147 HARTNELL AVE
REDDING, CA 96002-2113
Phone number: 530-222-7213
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