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Organization
BREAKING FREE OF ADDICTION
Active
Organization
BREAKING FREE OF ADDICTION
Active
Parent organization
CHRISTY LENNOX
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHRISTY LENNOX
Authorized official
CHRISTY LENNOX CADC II, ICADC, SAP (CD COUNSELOR)
(951) 443-9758
Entity
Organization
Contact information
Practice address
29399 PIERCE AVE, LAKE ELSINORE, CA 92530-4832
(951) 443-9758
Mailing address
5790 MAGNOLIA AVE STE 202, RIVERSIDE, CA 92506-1874
(941) 443-9758
(877) 811-7190
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A8250912
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A8250912
CERTIFICATION
—
Enumeration date
10/08/2015
Last updated
10/08/2015
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