PAUL JORGENSON

SAN JOSE, CA
NPI1164891859
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-09-23
Last Update Date2015-09-23
Business Address
-- PAUL JORGENSON
1388 PALM ST
SAN JOSE, CA 95110-3300
Phone number: 408-460-4241
Mailing Address
-- PAUL JORGENSON
1388 PALM ST
SAN JOSE, CA 95110-3300
Phone number: 408-460-4241
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