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1285181529
JAYME LEA MCCORMICK
VISTA, CA
NPI
1285181529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1214560915)
Enumeration Date
2016-09-03
Last Update Date
2016-09-03
Business Address
-- JAYME LEA MCCORMICK RADT-1
504 W VISTA WAY
VISTA, CA 92083-5704
Phone number: 760-940-1836
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Mailing Address
-- JAYME LEA MCCORMICK RADT-1
504 W VISTA WAY
VISTA, CA 92083-5704
Phone number: 760-505-5846
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