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1548334634
NANCY JO JACKSON CARLSON
BERKELEY, CA
NPI
1548334634
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Former Name
NANCY JO JUVINALL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA MFT33820)
Enumeration Date
2006-11-20
Last Update Date
2024-05-03
Business Address
Mrs. NANCY JO JACKSON CARLSON
2955 SHATTUCK AVE STE 2955
BERKELEY, CA 94705-1808
Phone number: 925-426-4729
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Mailing Address
Mrs. NANCY JO JACKSON CARLSON
PO BOX 5536
BERKELEY, CA 94705-0536
Phone number: 925-426-4729
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