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1700935657
LISA JELLISON
REDDING, CA
NPI
1700935657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 46430)
Enumeration Date
2007-01-09
Last Update Date
2010-03-09
Business Address
LISA JELLISON MA
3191 CHURN CREEK RD
REDDING, CA 96002-2123
Phone number: 530-224-7160
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Mailing Address
LISA JELLISON MA
PO BOX 991464
REDDING, CA 96099-1464
Phone number: 530-605-3664
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