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1063293181
ASHLEY JOHANNA JENSEN
NEWPORT BEACH, CA
NPI
1063293181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 10796)
Enumeration Date
2023-10-13
Last Update Date
2023-10-13
Business Address
ASHLEY JOHANNA JENSEN
4019 WESTERLY PL STE 102
NEWPORT BEACH, CA 92660-2333
Phone number: 714-540-9070
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Mailing Address
ASHLEY JOHANNA JENSEN
4019 WESTERLY PL STE 102
NEWPORT BEACH, CA 92660-2333
Phone number: 714-540-9070
Copy
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