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1073210837
JACQUELYN LYNN AVILA
PALM SPRINGS, CA
NPI
1073210837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 14458)
Enumeration Date
2023-02-13
Last Update Date
2023-02-13
Business Address
Mrs. JACQUELYN LYNN AVILA SUDRC
1330 N INDIAN CANYON DR STE A
PALM SPRINGS, CA 92262-4880
Phone number: 760-322-9065
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Mailing Address
Mrs. JACQUELYN LYNN AVILA SUDRC
1330 N INDIAN CANYON DR STE A
PALM SPRINGS, CA 92262-4880
Phone number: 760-322-9065
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