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1760672273
ANDREA BENNETT
COSTA MESA, CA
NPI
1760672273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 01-063091)
Enumeration Date
2007-07-31
Last Update Date
2007-07-31
Business Address
-- ANDREA BENNETT
2212 PLACENTIA AVE
COSTA MESA, CA 92627-7500
Phone number: 949-646-2271
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Mailing Address
-- ANDREA BENNETT
2212 PLACENTIA AVE
COSTA MESA, CA 92627-7500
Phone number: 949-646-2271
Copy
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