JEROD NIELSEN

LONG BEACH, CA
NPI1770206989
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  15334-RAC)
Enumeration Date2022-09-22
Last Update Date2022-09-22
Business Address
JEROD NIELSEN
5190 ATLANTIC AVE
LONG BEACH, CA 90805-6510
Phone number: 818-996-1051
Mailing Address
JEROD NIELSEN
5190 ATLANTIC AVE
LONG BEACH, CA 90805-6510
Phone number:
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