ERIC JENSEN

GRASS VALLEY, CA
NPI1174894885
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  A8461112)
Enumeration Date2012-01-26
Last Update Date2014-07-17
Business Address
ERIC JENSEN
180 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945-5768
Phone number: 530-878-5166
Mailing Address
ERIC JENSEN
180 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945-5768
Phone number:
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