SA THAO

REDDING, CA
NPI1760256358
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2023-11-14
Last Update Date2023-11-14
Business Address
SA THAO
3648 EL PORTAL DR
REDDING, CA 96002-3133
Phone number: 530-722-1114
Mailing Address
SA THAO
3648 EL PORTAL DR
REDDING, CA 96002-3133
Phone number: 530-722-1114
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