Individual
AZELARAB REDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3648 EL PORTAL DR, REDDING, CA 96002-3133
(530) 722-1114
Mailing address
3648 EL PORTAL DR, REDDING, CA 96002-3133
(530) 722-1114
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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