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1609241777
SHANNA DENISE JACOBSEN
PASADENA, CA
NPI
1609241777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-12-01
Last Update Date
2015-12-01
Business Address
Ms. SHANNA DENISE JACOBSEN CCAPP
1680 N FAIR OAKS AVE
PASADENA, CA 91103-1642
Phone number: 626-798-0884
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Mailing Address
Ms. SHANNA DENISE JACOBSEN CCAPP
1680 N FAIR OAKS AVE
PASADENA, CA 91103-1642
Phone number: 626-798-0884
Copy
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