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1790296937
ZENA AUSET ZECHARIAH DIANE JACKSON
YORK, PA
NPI
1790296937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: PA 19676)
Enumeration Date
2017-10-16
Last Update Date
2024-01-25
Business Address
MS. ZENA AUSET ZECHARIAH DIANE JACKSON CADC CCAR, CRPA
104 DAVIES DR
YORK, PA 17402-8605
Phone number: 717-840-2300
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Mailing Address
MS. ZENA AUSET ZECHARIAH DIANE JACKSON CADC CCAR, CRPA
965 LOUCKS RD # 1008
YORK, PA 17404-2201
Phone number: 631-530-7877
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