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1265292940
JASON ATHERTON
TARZANA, CA
NPI
1265292940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 96000115)
Enumeration Date
2024-03-20
Last Update Date
2024-03-20
Business Address
JASON ATHERTON
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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Mailing Address
JASON ATHERTON
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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