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1841686011
LA VERNE JASMINE HARRIS
SACRAMENTO, CA
NPI
1841686011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C034390315)
Enumeration Date
2015-04-14
Last Update Date
2015-04-14
Business Address
-- LA VERNE JASMINE HARRIS CADC-CAS
1513 SPORTS DR
SACRAMENTO, CA 95834-1943
Phone number: 916-575-8851
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Mailing Address
-- LA VERNE JASMINE HARRIS CADC-CAS
77 EMERALD CT
GALT, CA 95632-2306
Phone number: 209-912-8233
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