Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003128794 |
---|---|
Provider Name | Meaghan Barisone |
First Address | Napa, CA 94559-0127 |
Second Address | San Jose, CA 95128-2407 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2010 |
Last Update Date | 09/07/2010 |