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1538289814
MICHELLE JENSEN
SANTA ROSA, CA
NPI
1538289814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RAS J0501120759)
Enumeration Date
2007-03-30
Last Update Date
2007-07-08
Business Address
Ms. MICHELLE JENSEN RAS
1901 CLEVELAND AVE SUITE B
SANTA ROSA, CA 95401-4282
Phone number: 707-576-0818
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Mailing Address
Ms. MICHELLE JENSEN RAS
973 STONY POINT RD
SANTA ROSA, CA 95407-7129
Phone number: 707-528-0387
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