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1831884550
SEAN A JEROME
COSTA MESA, CA
NPI
1831884550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A061540822)
Enumeration Date
2023-04-07
Last Update Date
2023-04-10
Business Address
SEAN A JEROME CADCII
1102 BUCKINGHAM DR APT B
COSTA MESA, CA 92626-2137
Phone number: 951-473-6484
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Mailing Address
SEAN A JEROME CADCII
1102 BUCKINGHAM DR APT B
COSTA MESA, CA 92626-2137
Phone number: 951-473-6484
Copy
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