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1831734672
JAY CHARLES WHEELER
LOS ANGELES, CA
NPI
1831734672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 13418-R)
Enumeration Date
2019-11-15
Last Update Date
2020-11-04
Business Address
JAY CHARLES WHEELER
307 S CENTRAL AVE
LOS ANGELES, CA 90013-1709
Phone number: 323-541-6176
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Mailing Address
JAY CHARLES WHEELER
8149 SANTA MONICA BLVD # 433
WEST HOLLYWOOD, CA 90046-4912
Phone number: 323-541-6176
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