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1063004182
JESSICA IVENER
AGOURA HILLS, CA
NPI
1063004182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA LCi11100418)
Enumeration Date
2021-02-10
Last Update Date
2021-07-21
Business Address
Ms. JESSICA IVENER LAADC
28720 ROADSIDE DR STE 230
AGOURA HILLS, CA 91301-6008
Phone number: 805-908-1866
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Mailing Address
Ms. JESSICA IVENER LAADC
28720 ROADSIDE DR STE 230
AGOURA HILLS, CA 91301-6008
Phone number: 805-908-1866
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