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1245696061
MELLISSA JAKEL
WEST COVINA, CA
NPI
1245696061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 112927)
Enumeration Date
2016-01-08
Last Update Date
2016-01-08
Business Address
MS. MELLISSA JAKEL
2418 NINA ST APT 3
WEST COVINA, CA 91792-1766
Phone number: 909-624-1233
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Mailing Address
MS. MELLISSA JAKEL
2418 NINA ST APT 3
WEST COVINA, CA 91792-1766
Phone number: 909-624-1233
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