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1811005432
JON ALAN VAN FOSSAN
REDDING, CA
NPI
1811005432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 43861)
Enumeration Date
2006-08-25
Last Update Date
2024-05-13
Business Address
JON ALAN VAN FOSSAN
2640 BRESLAUER WAY
REDDING, CA 96001-4246
Phone number: 530-245-6416
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Mailing Address
JON ALAN VAN FOSSAN
18389 UTILITY AVE
ANDERSON, CA 96007-8423
Phone number: 530-241-0337
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