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Organization
THE AWARENESS PROGRAM
Active
Organization
THE AWARENESS PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CANDACE BIBBY (ADMINISTRATOR)
(760) 342-1233
Entity
Organization
Contact information
Practice address
45550 GRACE ST, INDIO, CA 92201-4610
(760) 342-1233
(760) 342-5344
Mailing address
45550 GRACE ST, INDIO, CA 92201-4610
(760) 342-1233
(760) 342-5344
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3300101120
CA
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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