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1174894885
ERIC JENSEN
GRASS VALLEY, CA
NPI
1174894885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A8461112)
Enumeration Date
2012-01-26
Last Update Date
2014-07-17
Business Address
-- ERIC JENSEN
180 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945-5768
Phone number: 530-878-5166
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Mailing Address
-- ERIC JENSEN
180 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945-5768
Phone number:
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