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1780194977
BILLY TRI PHAN
SACRAMENTO, CA
NPI
1780194977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1267760917)
Enumeration Date
2017-10-03
Last Update Date
2017-10-03
Business Address
BILLY TRI PHAN Counselor
7225 E SOUTHGATE DR STE D
SACRAMENTO, CA 95823-2651
Phone number: 916-394-1000
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Mailing Address
BILLY TRI PHAN Counselor
7912 SYMINGTON WAY
SACRAMENTO, CA 95829-1470
Phone number: 916-690-1177
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