Individual
CHESSLEY COREY PLEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RADT
Contact information
Practice address
8086 ORANGE AVE, FAIR OAKS, CA 95628-5941
(916) 400-4369
Mailing address
20271 SW BIRCH ST, NEWPORT BEACH, CA 92660-1752
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1397140720
CA
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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