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1205359957
JENNICE JEFFERSON
COVINA, CA
NPI
1205359957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 168324)
Enumeration Date
2017-07-24
Last Update Date
2022-07-21
Business Address
JENNICE JEFFERSON
17727 E CYPRESS ST
COVINA, CA 91722-2634
Phone number: 626-858-4920
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Mailing Address
JENNICE JEFFERSON
17727 E CYPRESS ST
COVINA, CA 91722-2634
Phone number: 626-858-4920
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