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1245018852
JASPER BEAR
BERKELEY, CA
NPI
1245018852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 150436)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2023-09-15
Last Update Date
2024-10-14
Business Address
JASPER BEAR Intern
1820 SCENIC AVE
BERKELEY, CA 94709-1395
Phone number: 510-206-6870
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Mailing Address
JASPER BEAR Intern
4900 SHATTUCK AVE P.O. BOX 3275
OAKLAND, CA 94609-2031
Phone number: 510-206-6870
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