TYIESHA JACQUETT

SPRING VALLEY, CA
NPI1164815775
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-03-07
Last Update Date2015-03-07
Business Address
-- TYIESHA JACQUETT
2315 BAR BIT RD
SPRING VALLEY, CA 91978-1901
Phone number: 619-337-3830
Mailing Address
-- TYIESHA JACQUETT
2315 BAR BIT RD
SPRING VALLEY, CA 91978-1901
Phone number: 619-337-3830
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