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1295948651
JESSE HENRIQUEZ
LOS ANGELES, CA
NPI
1295948651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-08
Last Update Date
2009-08-25
Business Address
-- JESSE HENRIQUEZ CATC
672 S LA FAYETTE PARK PL #6
LOS ANGELES, CA 90057-3251
Phone number: 213-381-3626
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Mailing Address
-- JESSE HENRIQUEZ CATC
3211 W 48TH ST
LOS ANGELES, CA 90043-5414
Phone number:
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