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1982449591
ALISA DIANE ETCHELLS
BAKERSFIELD, CA
NPI
1982449591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1543620124)
Enumeration Date
2024-06-26
Last Update Date
2024-06-26
Business Address
ALISA DIANE ETCHELLS RADT
1001 TOWER WAY STE 140
BAKERSFIELD, CA 93309-1586
Phone number: 661-634-9877
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Mailing Address
ALISA DIANE ETCHELLS RADT
1001 TOWER WAY STE 140
BAKERSFIELD, CA 93309-1586
Phone number: 661-634-9877
Copy
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