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1760965966
MARIA FERNANDA JENKINSON
SANTA ANA, CA
NPI
1760965966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Ci22270620)
Enumeration Date
2018-09-13
Last Update Date
2022-04-11
Business Address
MARIA FERNANDA JENKINSON CADC l Ci22270620
2101 E 1ST ST
SANTA ANA, CA 92705-4007
Phone number: 714-542-2246
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Mailing Address
MARIA FERNANDA JENKINSON CADC l Ci22270620
10520 LAKESIDE DR N UNIT J
GARDEN GROVE, CA 92840-5060
Phone number: 562-388-5506
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