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1578335196
DANIEL JACOB SELF
NEW YORK, NY
NPI
1578335196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA MC61409994)
Enumeration Date
2023-10-26
Last Update Date
2023-10-26
Business Address
DANIEL JACOB SELF MA, LMHCA
30 DONGAN PL APT 6G
NEW YORK, NY 10040-1556
Phone number: 929-256-2140
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Mailing Address
DANIEL JACOB SELF MA, LMHCA
608 FLATHEAD RIVER ST
OXNARD, CA 93036-5308
Phone number: 661-674-9564
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