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1013120351
MICHAEL HENRY ST. JEAN
LONG BEACH, CA
NPI
1013120351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA S0412211639)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL HENRY ST. JEAN
2525 GRAND AVE
LONG BEACH, CA 90815-1765
Phone number: 562-570-4100
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Mailing Address
Mr. MICHAEL HENRY ST. JEAN
3045 SAN ANSELINE AVE
LONG BEACH, CA 90808-3731
Phone number: 562-429-2147
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