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1972855567
CRYSTAL M JILLSON
LOS ANGELES, CA
NPI
1972855567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-10-08
Last Update Date
2012-10-08
Business Address
-- CRYSTAL M JILLSON
5723 WHITTIER BLVD
LOS ANGELES, CA 90022-4222
Phone number: 323-721-6855
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Mailing Address
-- CRYSTAL M JILLSON
5723 WHITTIER BLVD
LOS ANGELES, CA 90022-4222
Phone number: 323-721-6855
Copy
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