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1821701848
RICKY RICARDO GALLEGOS
BERKELEY, CA
NPI
1821701848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-01-04
Last Update Date
2023-01-04
Business Address
Mr. RICKY RICARDO GALLEGOS RADT
1816 SCENIC AVE
BERKELEY, CA 94709-1324
Phone number: 510-548-7270
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Mailing Address
Mr. RICKY RICARDO GALLEGOS RADT
1876 ARCH ST APT 4A
BERKELEY, CA 94709-1306
Phone number: 510-258-7121
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