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CHRISTINA MARIE DEES RADT
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1790441236
Individual Registrant: CHRISTINA MARIE DEES RADT
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
28765 PINE CANYON RD LAKE HUGHES, CA 93532-1046 US
Tel: 661-724-0440 Fax: --
Tel: 661-724-0440 Fax: --
Contact information for business:
28765 PINE CANYON RD LAKE HUGHES, CA 93532-1046 US
Tel: 661-494-1726 Fax: --
Tel: 661-494-1726 Fax: --
Registration Information:
NPI: 1790441236
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | CA | R1448641121 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
