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1073115747
JAKE BARTLEY WILSON
RENO, NV
NPI
1073115747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NV 07585-I)
Enumeration Date
2020-11-09
Last Update Date
2023-11-10
Business Address
JAKE BARTLEY WILSON CADC-I
130 VINE ST
RENO, NV 89503-5546
Phone number: 775-900-8522
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Mailing Address
JAKE BARTLEY WILSON CADC-I
130 VINE ST
RENO, NV 89503-5546
Phone number:
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