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1902488679
MICHAEL CARLYLE
TEMECULA, CA
NPI
1902488679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA CS0920517)
Enumeration Date
2021-04-22
Last Update Date
2021-04-22
Business Address
Mr. MICHAEL CARLYLE CADC-CS, ICCS, CCDS
28184 TIERRA VISTA RD
TEMECULA, CA 92592-3075
Phone number: 949-228-8478
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Mailing Address
Mr. MICHAEL CARLYLE CADC-CS, ICCS, CCDS
28184 TIERRA VISTA RD
TEMECULA, CA 92592-3075
Phone number: 949-228-8478
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