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1790404382
CARLOS ANDRES LEON
FAIRFIELD, CA
NPI
1790404382
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 7289)
Enumeration Date
2022-08-25
Last Update Date
2023-08-10
Business Address
CARLOS ANDRES LEON SUDCC II
4820 BUSINESS CENTER DR
FAIRFIELD, CA 94534-1696
Phone number: 707-224-8266
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Mailing Address
CARLOS ANDRES LEON SUDCC II
1565 PEMBROKE WAY
DIXON, CA 95620-2467
Phone number: 707-913-5813
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