THEODORE JAKES

RIVERSIDE, CA
NPI1750569380
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  C8572406)
Enumeration Date2008-02-06
Last Update Date2008-02-06
Business Address
Mr. THEODORE JAKES
1777 ATLANTA AVE STE G1
RIVERSIDE, CA 92507
Phone number: 951-778-3500
Mailing Address
Mr. THEODORE JAKES
1170 KRAEMER DR
CORONA, CA 92882
Phone number:
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