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1033717889
ERIC JACOBSEN
FRESNO, CA
NPI
1033717889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1463790322)
Enumeration Date
2020-10-14
Last Update Date
2022-11-28
Business Address
ERIC JACOBSEN
611 E BELMONT AVE
FRESNO, CA 93701-1502
Phone number: 559-237-3420
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Mailing Address
ERIC JACOBSEN
611 E BELMONT AVE
FRESNO, CA 93701-1502
Phone number: 559-237-3420
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