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1578005393
JEFFERY ALLAN JOHNSON
NEVADA CITY, CA
NPI
1578005393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C5131214)
Enumeration Date
2016-11-10
Last Update Date
2020-01-16
Business Address
JEFFERY ALLAN JOHNSON CADC-CAS
145 BOST AVE
NEVADA CITY, CA 95959-3249
Phone number: 530-273-9541
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Mailing Address
JEFFERY ALLAN JOHNSON CADC-CAS
180 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945-5768
Phone number: 530-273-9541
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