Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YS0200X | School Counselor | 121651 | WI |
N | 101YS0200X | School Counselor | 4034195 | AK |
Y | 101YS0200X | School Counselor | 4060044 | AK |
NPI | 1053758920 |
---|---|
Provider Name | Clarice Joann Essex |
First Address | Galena, AK 99741-0077 |
Second Address | Galena, AK 99741 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2013 |
Last Update Date | 31/05/2013 |