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1871968925
CHARLES FARIS
PASADENA, CA
NPI
1871968925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA F0910011501)
Enumeration Date
2015-12-01
Last Update Date
2015-12-01
Business Address
-- CHARLES FARIS
1652 E DEL MAR BLVD
PASADENA, CA 91106-2706
Phone number: 626-792-5508
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Mailing Address
-- CHARLES FARIS
1652 E DEL MAR BLVD
PASADENA, CA 91106-2706
Phone number: 626-792-5508
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