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1780468041
TANYA ANN VELASQUEZ
ORANGE, CA
NPI
1780468041
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 16215)
Enumeration Date
2023-08-18
Last Update Date
2024-03-15
Business Address
TANYA ANN VELASQUEZ SUD
265 S ANITA DR
ORANGE, CA 92868-3355
Phone number: 949-749-2500
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Mailing Address
TANYA ANN VELASQUEZ SUD
2350 OSBUN RD UNIT 12
SAN BERNARDINO, CA 92404-4631
Phone number: 909-695-2055
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