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Search › California › Addiction (Substance Use Disorder) Counselor

David Raese, SUDRC#15389

NPI 1760264915 · on the registry since 2023

Practice

Address
1101 Sylvan Ave Ste C103
Modesto, CA 95350
Phone
(209) 758-7477
Fax
(866) 875-7351
Organisation at this address
Roots Of Addiction Counseling Center Llc
Sojourn Hospice & Palliative Care-Modesto, Llc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Counselor
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-10-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California