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1780457424
CLIFFORD KONOPASEK
UKIAH, CA
NPI
1780457424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 8905)
Enumeration Date
2023-11-03
Last Update Date
2023-11-03
Business Address
CLIFFORD KONOPASEK
201 BRUSH ST
UKIAH, CA 95482-3424
Phone number: 707-462-6290
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Mailing Address
CLIFFORD KONOPASEK
201 BRUSH ST
UKIAH, CA 95482-3424
Phone number:
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