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1801144076
SUSAN JANE JAECKEL
MISSION VIEJO, CA
NPI
1801144076
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-08-20
Last Update Date
2019-02-22
Business Address
SUSAN JANE JAECKEL B.A.
26137 LA PAZ RD STE 230
MISSION VIEJO, CA 92691
Phone number: 949-595-8610
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Mailing Address
SUSAN JANE JAECKEL B.A.
26137 LA PAZ RD STE 230
MISSION VIEJO, CA 92691-5337
Phone number: 949-595-8610
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