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1790520898
WAYLON DON KRENECK
SANTA ANA, CA
NPI
1790520898
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1517200823)
Enumeration Date
2024-06-28
Last Update Date
2024-06-28
Business Address
WAYLON DON KRENECK RADT-1, PSS
1207 E FRUIT ST
SANTA ANA, CA 92701-4296
Phone number: 760-487-3600
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Mailing Address
WAYLON DON KRENECK RADT-1, PSS
9626 BONITA VISTA ST
APPLE VALLEY, CA 92308-9099
Phone number: 760-905-7290
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