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1811677586
JORDAN RICHARDSON
OAKLAND, CA
NPI
1811677586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-07-19
Last Update Date
2023-07-19
Business Address
JORDAN RICHARDSON
1266 14TH ST
OAKLAND, CA 94607-2247
Phone number: 510-273-4700
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Mailing Address
JORDAN RICHARDSON
1266 14TH ST
OAKLAND, CA 94607-2247
Phone number: 510-273-4700
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