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1912728239
CHRISTIAN RYAN ODANIEL
SAN MATEO, CA
NPI
1912728239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 19530)
Enumeration Date
2024-10-19
Last Update Date
2024-10-19
Business Address
Mr. CHRISTIAN RYAN ODANIEL
2251 PALM AVE
SAN MATEO, CA 94403-1814
Phone number: 650-513-6500
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Mailing Address
Mr. CHRISTIAN RYAN ODANIEL
815 OLD COUNTY RD APT 236
BELMONT, CA 94002-2480
Phone number:
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