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1841634896
JUSTIN FOSTER
GRASS VALLEY, CA
NPI
1841634896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RW7008)
Enumeration Date
2013-04-22
Last Update Date
2013-04-22
Business Address
-- JUSTIN FOSTER
180 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945-5768
Phone number: 530-273-9541
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Mailing Address
-- JUSTIN FOSTER
180 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945-5768
Phone number: 530-273-9541
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