Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1174857320 |
---|---|
Provider Name | Jessica Truex |
First Address | Santa Clarita, CA 91350-2947 |
Second Address | Santa Clarita, CA 91350-2947 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2009 |
Last Update Date | 21/09/2009 |