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1730580317
JACKLYN JOHNSTON
WATSONVILLE, CA
NPI
1730580317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-09-15
Last Update Date
2014-09-15
Business Address
-- JACKLYN JOHNSTON
335 E LAKE AVE
WATSONVILLE, CA 95076-4826
Phone number: 831-728-6445
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Mailing Address
-- JACKLYN JOHNSTON
335 E LAKE AVE
WATSONVILLE, CA 95076-4826
Phone number: 831-728-6445
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