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Individual
JEFFREY CHARLES FLORANCE
Active
Individual
JEFFREY CHARLES FLORANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDAAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAMVA1-378-110114P
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
333901
—
CA
05
—
333903
—
CA
Enumeration date
01/29/2013
Last updated
01/29/2013
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