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1609279454
JANAYA GRACE KELLY
SACRAMENTO, CA
NPI
1609279454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 03-145596)
Enumeration Date
2014-10-07
Last Update Date
2015-07-14
Business Address
-- JANAYA GRACE KELLY CADC II
500 22ND ST
SACRAMENTO, CA 95816-3503
Phone number: 916-442-4519
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Mailing Address
-- JANAYA GRACE KELLY CADC II
2218 E ST
SACRAMENTO, CA 95816-3511
Phone number: 530-848-0932
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