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1902439839
BRYANT RICHARD CARTER
REDDING, CA
NPI
1902439839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 9061)
Enumeration Date
2020-02-19
Last Update Date
2020-02-19
Business Address
BRYANT RICHARD CARTER SUDCC II
1237 CALIFORNIA ST
REDDING, CA 96001-0618
Phone number: 530-243-7470
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Mailing Address
BRYANT RICHARD CARTER SUDCC II
1237 CALIFORNIA ST
REDDING, CA 96001-0618
Phone number: 530-243-7470
Copy
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