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1114678760
JESSICA ROSE LEAVELL
SANTA ANA, CA
NPI
1114678760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1389630520)
Enumeration Date
2022-01-14
Last Update Date
2022-01-14
Business Address
JESSICA ROSE LEAVELL MA
2201 KILSON DR
SANTA ANA, CA 92707-2954
Phone number: 949-734-9616
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Mailing Address
JESSICA ROSE LEAVELL MA
11541 NORGATE CIR
CORONA, CA 92878-9117
Phone number: 951-520-7291
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