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1659159952
JON JEFFREY HOUSTON
OAKLAND, CA
NPI
1659159952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 16057-i)
Enumeration Date
2023-09-18
Last Update Date
2023-09-18
Business Address
JON JEFFREY HOUSTON
10429 INTERNATIONAL BLVD
OAKLAND, CA 94603-3221
Phone number: 510-777-8448
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Mailing Address
JON JEFFREY HOUSTON
10429 INTERNATIONAL BLVD
OAKLAND, CA 94603-3221
Phone number: 510-777-8448
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