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1790142388
DONETTA JEFFERSON
SACRAMENTO, CA
NPI
1790142388
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C15691214)
Enumeration Date
2016-01-27
Last Update Date
2016-01-27
Business Address
-- DONETTA JEFFERSON
310 HARRIS AVE STE A
SACRAMENTO, CA 95838-3249
Phone number: 916-649-6793
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Mailing Address
-- DONETTA JEFFERSON
310 HARRIS AVE STE A
SACRAMENTO, CA 95838-3249
Phone number: 916-649-6793
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