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1154645851
SHANE JONES
GRASS VALLEY, CA
NPI
1154645851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RS2025)
Enumeration Date
2010-03-24
Last Update Date
2010-03-24
Business Address
-- SHANE JONES
440 HENDERSON ST STE C
GRASS VALLEY, CA 95945-7374
Phone number: 530-273-9541
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Mailing Address
-- SHANE JONES
440 HENDERSON ST STE C
GRASS VALLEY, CA 95945-7374
Phone number: 530-273-9541
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