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1073260303
JANE THERESA JOHNSON
SANTA CRUZ, CA
NPI
1073260303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2022-03-07
Last Update Date
2022-03-07
Business Address
JANE THERESA JOHNSON
707 FAIR AVE
SANTA CRUZ, CA 95060-5828
Phone number: 831-427-1007
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Mailing Address
JANE THERESA JOHNSON
707 FAIR AVE
SANTA CRUZ, CA 95060-5828
Phone number: 831-427-1007
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