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1699403089
LABAREN TERRELL JONES
SAN RAFAEL, CA
NPI
1699403089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-08-12
Last Update Date
2022-08-12
Business Address
LABAREN TERRELL JONES
235 UNION ST
SAN RAFAEL, CA 94901-3441
Phone number: 415-595-0696
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Mailing Address
LABAREN TERRELL JONES
291 SMITH RANCH RD
SAN RAFAEL, CA 94903-2093
Phone number: 415-595-0696
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