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1891569000
LEANNA DIANE JACKSON
BREA, CA
NPI
1891569000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 142129)
Enumeration Date
2023-11-08
Last Update Date
2023-11-08
Business Address
Miss LEANNA DIANE JACKSON
431 W LAMBERT RD STE 310
BREA, CA 92821-3918
Phone number: 310-853-0435
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Mailing Address
Miss LEANNA DIANE JACKSON
4712 E 2ND ST # 913
LONG BEACH, CA 90803-5309
Phone number: 310-853-0435
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