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Individual

JALEESA ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
1301 PINE AVE, LONG BEACH, CA 90813-3124
(562) 595-1159
Mailing address
1301 PINE AVE, LONG BEACH, CA 90813-3124
(562) 595-1159

Taxonomy

Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
2012913
CA
390200000X
Student in an Organized Health Care Education/Training Program
E1193040
CA

Other

Enumeration date
08/22/2014
Last updated
07/21/2022
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