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1932673563
JORDAN T. DESIMONE
ALTADENA, CA
NPI
1932673563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C039991116)
Enumeration Date
2019-01-16
Last Update Date
2019-01-16
Business Address
Mr. JORDAN T. DESIMONE CADC-CAS
460 E SACRAMENTO ST
ALTADENA, CA 91001-2915
Phone number: 626-808-0335
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Mailing Address
Mr. JORDAN T. DESIMONE CADC-CAS
1391 PRIME CT
PASADENA, CA 91104-5035
Phone number: 860-712-8128
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