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Individual
MR. RAYMOND CABOT RADEKA
Active
Individual
MR. RAYMOND CABOT RADEKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AII057290518
CA
101YM0800X
Mental Health Counselor
ASW102529
CA
1041C0700X
Clinical Social Worker
Primary
122683
CA
Other
Enumeration date
11/01/2013
Last updated
07/05/2024
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