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1346501244
JACQUELINE JOHANSEN
SANTA ROSA, CA
NPI
1346501244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-06-06
Last Update Date
2012-06-06
Business Address
-- JACQUELINE JOHANSEN
1160 N DUTTON AVE SUITE 105
SANTA ROSA, CA 95401-4600
Phone number: 707-545-2700
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Mailing Address
-- JACQUELINE JOHANSEN
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number:
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