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1962136747
JESSICA L BASSETT
FAIRFIELD, CA
NPI
1962136747
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1475320722)
Enumeration Date
2022-07-15
Last Update Date
2022-07-15
Business Address
-- JESSICA L BASSETT RAD-T1
1225 TRAVIS BLVD
FAIRFIELD, CA 94533-4892
Phone number: 707-399-9190
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Mailing Address
-- JESSICA L BASSETT RAD-T1
609 JEFFERSON ST
FAIRFIELD, CA 94533-6293
Phone number: 707-399-9190
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