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1972242642
JANUARY RAE WHITTAKER
JASPER, IN
NPI
1972242642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN C2-51294)
Enumeration Date
2022-06-01
Last Update Date
2022-06-01
Business Address
Ms. JANUARY RAE WHITTAKER CADAC II
508 JACKSON ST # 102
JASPER, IN 47546-3128
Phone number: 812-817-0760
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Mailing Address
Ms. JANUARY RAE WHITTAKER CADAC II
1317 3RD ST
BEDFORD, IN 47421-1805
Phone number: 812-797-9711
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