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1336715085
CHERISE LEE JACKSON
HOLLISTER, CA
NPI
1336715085
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Ci35650522)
Enumeration Date
2021-06-02
Last Update Date
2023-01-18
Business Address
CHERISE LEE JACKSON CADC-I
335 6TH ST
HOLLISTER, CA 95023-3834
Phone number: 831-265-7317
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Mailing Address
CHERISE LEE JACKSON CADC-I
335 6TH ST
HOLLISTER, CA 95023-3834
Phone number: 831-665-2954
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