DOMINIQUE MON DRIELLE JEFFERSON

LOS ANGELES, CA
NPI1306340450
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-03-22
Last Update Date2018-03-22
Business Address
Ms. DOMINIQUE MON DRIELLE JEFFERSON
1841 W IMPERIAL HWY
LOS ANGELES, CA 90047-5021
Phone number: 323-750-2850
Mailing Address
Ms. DOMINIQUE MON DRIELLE JEFFERSON
1841 W IMPERIAL HWY
LOS ANGELES, CA 90047-5021
Phone number: 323-750-2850
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