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Individual
ALLEN HAYSBERT
Active
Individual
ALLEN HAYSBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.A.T.C.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
200342
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200342
CALIFORNIA ASSOCIATION OF ALCOHOL & DRUG EDUCATORS
CA
Enumeration date
07/06/2011
Last updated
07/06/2011
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