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1881240539
DUSTIN A STEPHENSON
SACRAMENTO, CA
NPI
1881240539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-08-16
Last Update Date
2020-03-27
Business Address
DUSTIN A STEPHENSON CCAPP Registration
1820 J ST
SACRAMENTO, CA 95811-3010
Phone number: 916-313-8434
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Mailing Address
DUSTIN A STEPHENSON CCAPP Registration
3 SOMER RIDGE DR APT 137
ROSEVILLE, CA 95661-5255
Phone number: 916-710-9863
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