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1750567012
JENNIFER RAE PETERSON
SACRAMENTO, CA
NPI
1750567012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-01-17
Last Update Date
2008-01-17
Business Address
Ms. JENNIFER RAE PETERSON
444 N 3RD ST STE 230
SACRAMENTO, CA 95811-0227
Phone number: 916-264-0240
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Mailing Address
Ms. JENNIFER RAE PETERSON
2192 HERITAGE DR
ROSEVILLE, CA 95678-3403
Phone number: 916-968-8790
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