Jessica Cypress Immitt ASW

NPI 1013213842 - Counselor - 101Y00000X

NPI Details
NPI 1013213842
Gender Female
Enumeration Date 01/26/2011
Last Updated 05/06/2012
Entity Type Individual
Active Over 6 years ago
Practice Location
720 WOOD ST
EUREKA CA, 95501-4413, US
Phone (707) 268-2990
Fax
Business Location
720 WOOD ST
EUREKA CA, 95501-4413, US
Phone (707) 268-2990
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State California
License Number 30782
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According to our database, Ms. Jessica Cypress Immitt ASW NPI is 1013213842, taxonomy code is 101Y00000X and license number is 30782, license state is located at California. Jessica Cypress Immitt ASW physically located at 720 Wood St, Eureka CA, 95501-4413. NPI Number Jessica Cypress Immitt ASW has the Individual type.

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1013213842 NPI number is provided on an as is basis without warranty of any kind. 1013213842 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Cypress Immitt ASW are for informational purposes only.