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1578232682
JONATHAN TREVOR OLEVSON
INGLEWOOD, CA
NPI
1578232682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1441310821)
Enumeration Date
2021-09-10
Last Update Date
2021-09-10
Business Address
Mr. JONATHAN TREVOR OLEVSON
614 W MANCHESTER BLVD
INGLEWOOD, CA 90301-1656
Phone number: 310-412-0879
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Mailing Address
Mr. JONATHAN TREVOR OLEVSON
614 W MANCHESTER BLVD
INGLEWOOD, CA 90301-1656
Phone number: 213-399-0864
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