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1053923193
JESSICA R ELACK
ROSEVILLE, CA
NPI
1053923193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1402020820)
Enumeration Date
2020-08-19
Last Update Date
2020-08-19
Business Address
JESSICA R ELACK RADT
730 SUNRISE AVENUE BUILDING 200, STE-201
ROSEVILLE, CA 95661
Phone number: 916-782-3737
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Mailing Address
JESSICA R ELACK RADT
730 SUNRISE AVENUE BUILDING 200, STE-201
ROSEVILLE, CA 95661
Phone number: 916-782-3737
Copy
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