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1790491819
JESSIE ELIZABETH GOUGH
EUREKA, CA
NPI
1790491819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-01-24
Last Update Date
2023-01-24
Business Address
JESSIE ELIZABETH GOUGH
2107 1ST ST
EUREKA, CA 95501-0840
Phone number: 707-273-6395
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Mailing Address
JESSIE ELIZABETH GOUGH
2107 1ST ST
EUREKA, CA 95501-0840
Phone number:
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