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STEPHEN RAY BURCHARD CADCA

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1588073407

Individual Registrant:
 STEPHEN RAY BURCHARD CADCA
Gender: M
Sole Proprietor

Location and contact information for practice:
68625 PEREZ RD STE 5  CATHEDRAL CITY, CA 92234-7250 US
Tel: 760-773-6768  Fax: 760-773-6808

Contact information for business:
68625 PEREZ RD STE 5  CATHEDRAL CITY, CA 92234-7250 US
Tel: 760-773-6768  Fax: 760-773-6808

Registration Information:
NPI: 1588073407
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
CARI-B1205090846

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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