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1235655176
JACQUELINE VILLICANA
FOWLER, CA
NPI
1235655176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 17017)
Enumeration Date
2017-08-22
Last Update Date
2023-12-21
Business Address
JACQUELINE VILLICANA
311 E MERCED ST
FOWLER, CA 93625-2316
Phone number: 559-892-9452
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Mailing Address
JACQUELINE VILLICANA
311 E MERCED ST
FOWLER, CA 93625-2316
Phone number: 559-892-9452
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