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1811417025
JOHNNY JOSEPH COURREGES
INDIO, CA
NPI
1811417025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Aii7351214)
Enumeration Date
2017-06-20
Last Update Date
2017-06-20
Business Address
Mr. JOHNNY JOSEPH COURREGES CADC II
44-359 PALM ST
INDIO, CA 92201-9220
Phone number: 760-333-6367
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Mailing Address
Mr. JOHNNY JOSEPH COURREGES CADC II
47660 PEONY PL
INDIO, CA 92201
Phone number: 760-250-7138
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