Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 225X00000X | Occupational Therapist | OT22180 | CA |
NPI | 1003232232 |
---|---|
Provider Name | Cristina Jones |
First Address | Biggs, CA 95917-9705 |
Second Address | Yuba City, CA 95991-2400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2014 |
Last Update Date | 01/04/2021 |