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1205231628
JELANI JOHNSON-BRISCOE
MARTINEZ, CA
NPI
1205231628
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-10-28
Last Update Date
2014-10-28
Business Address
-- JELANI JOHNSON-BRISCOE
300 ILENE ST.
MARTINEZ, CA 94553
Phone number: 925-313-7980
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Mailing Address
-- JELANI JOHNSON-BRISCOE
1239 HALSEY
VALLEJO, CA 94590
Phone number: 925-917-0187
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