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Individual
JASON RAMIREZ
Active
Individual
JASON RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RADT-1
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R-1206980715
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RADT-I R-1206980715
CCAPP
CA
Enumeration date
06/14/2016
Last updated
06/14/2016
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