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1154796209
RYAN JACOBS
LOS ANGELES, CA
NPI
1154796209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C037840716)
Enumeration Date
2015-12-01
Last Update Date
2020-03-03
Business Address
RYAN JACOBS CADC-CAS
3217 N EASTERN AVE
LOS ANGELES, CA 90032
Phone number: 213-625-5009
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Mailing Address
RYAN JACOBS CADC-CAS
3217 N EASTERN AVE
LOS ANGELES, CA 90032
Phone number: 213-625-5009
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