JAXON MARCEL GRANDCHAMP

SACRAMENTO, CA
NPI1972383792
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  12856)
Enumeration Date2023-09-29
Last Update Date2023-09-29
Business Address
JAXON MARCEL GRANDCHAMP SUDRC
2100 CAPITOL AVE
SACRAMENTO, CA 95816-5721
Phone number: 916-442-4985
Mailing Address
JAXON MARCEL GRANDCHAMP SUDRC
2100 CAPITOL AVE
SACRAMENTO, CA 95816-5721
Phone number: 916-442-4985
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