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1114411824
RICHARD MICHAEL JACOBSON
SANTA MARIA, CA
NPI
1114411824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 7794)
Enumeration Date
2018-06-15
Last Update Date
2018-06-15
Business Address
RICHARD MICHAEL JACOBSON CAODC 7794
401 W MORRISON AVE STE B
SANTA MARIA, CA 93458-6124
Phone number: 805-347-3338
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Mailing Address
RICHARD MICHAEL JACOBSON CAODC 7794
607 E HERMOSA ST
SANTA MARIA, CA 93454-3733
Phone number: 805-867-8090
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