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1992306070
COURTNEY ALEXIS CRISOSTOMO
TRABUCO CANYON, CA
NPI
1992306070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1403940920)
Enumeration Date
2020-11-04
Last Update Date
2020-12-31
Business Address
COURTNEY ALEXIS CRISOSTOMO RADT
20331 FLANAGAN RD.
TRABUCO CANYON, CA 92679
Phone number: 818-582-8832
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Mailing Address
COURTNEY ALEXIS CRISOSTOMO RADT
8142 ELMORE WAY APT 5
MIDWAY CITY, CA 92655-1565
Phone number: 714-414-3071
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