JAZAIHA LANAE KELLEY

MODESTO, CA
NPI1174202386
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-07-14
Last Update Date2023-07-14
Business Address
JAZAIHA LANAE KELLEY
2700 BRENNER WAY
MODESTO, CA 95350-1704
Phone number: 559-241-3239
Mailing Address
JAZAIHA LANAE KELLEY
2700 BRENNER WAY
MODESTO, CA 95350-1704
Phone number: 559-241-3239
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