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1972104552
JARED CARTER NELSON
TORRANCE, CA
NPI
1972104552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-11-02
Last Update Date
2020-11-02
Business Address
JARED CARTER NELSON
1334 POST AVE
TORRANCE, CA 90501-2620
Phone number: 310-328-1460
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Mailing Address
JARED CARTER NELSON
4215 DON TOMASO DR APT 15
LOS ANGELES, CA 90008-5344
Phone number: 831-809-6659
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