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1760661037
KENNETH COLENZO
WEST SACRAMENTO, CA
NPI
1760661037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2007-11-02
Last Update Date
2022-01-03
Business Address
KENNETH COLENZO
500 JEFFERSON BLVD STE B180
WEST SACRAMENTO, CA 95605-2394
Phone number: 916-403-2970
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Mailing Address
KENNETH COLENZO
PO BOX 1260
DAVIS, CA 95617-1260
Phone number: 530-753-3498
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