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1255019535
JESSE BARBER
SAN RAFAEL, CA
NPI
1255019535
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2023-07-07
Last Update Date
2023-07-07
Business Address
JESSE BARBER RADT
603 D ST
SAN RAFAEL, CA 94901-3719
Phone number: 415-454-9444
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Mailing Address
JESSE BARBER RADT
2406 YOSEMITE WAY
DISCOVERY BAY, CA 94505-1838
Phone number: 510-981-9304
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