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1366739112
KENNETH JONES
SAN MATEO, CA
NPI
1366739112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 092061)
Enumeration Date
2011-06-30
Last Update Date
2011-06-30
Business Address
KENNETH JONES CAADE
720 SOUTH B STREET
SAN MATEO, CA 94401
Phone number: 650-579-7881
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Mailing Address
KENNETH JONES CAADE
105 BELCREST AVE
DALY CITY, CA 94015-4712
Phone number:
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