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1871156364
ILSE AHUMADA
VALLEJO, CA
NPI
1871156364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1285781217)
Enumeration Date
2019-04-19
Last Update Date
2019-04-19
Business Address
Ms. ILSE AHUMADA AA
1628 BROADWAY ST STE B
VALLEJO, CA 94590-2405
Phone number: 707-649-8300
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Mailing Address
Ms. ILSE AHUMADA AA
425 ARKANSAS ST
VALLEJO, CA 94590-3872
Phone number: 707-805-6374
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