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1558917054
JANAE JACKSON
FRESNO, CA
NPI
1558917054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA R1465480422)
Enumeration Date
2019-08-12
Last Update Date
2022-04-26
Business Address
JANAE JACKSON
3707 E SHIELDS AVE
FRESNO, CA 93726-7029
Phone number: 559-229-9040
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Mailing Address
JANAE JACKSON
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 949-833-2237
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