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1639639107
JACOB HARRIS
LOS ANGELES, CA
NPI
1639639107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT146882)
Enumeration Date
2019-03-21
Last Update Date
2024-07-19
Business Address
JACOB HARRIS
11965 VENICE BLVD STE 202
LOS ANGELES, CA 90066-3954
Phone number: 424-290-1692
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Mailing Address
JACOB HARRIS
3631 MIDVALE AVE APT 3
LOS ANGELES, CA 90034-6648
Phone number: 310-415-0225
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