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1508592379
JESSICA HENDERSON
VALLEJO, CA
NPI
1508592379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1460630322)
Enumeration Date
2022-07-25
Last Update Date
2022-07-25
Business Address
JESSICA HENDERSON
126 OHIO ST
VALLEJO, CA 94590-5049
Phone number: 707-644-2577
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Mailing Address
JESSICA HENDERSON
126 OHIO ST
VALLEJO, CA 94590-5049
Phone number: 707-644-2577
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