Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor | CA |
NPI | 1003335514 |
---|---|
Provider Name | Miss Jacqueline M Schiano |
First Address | Oakland, CA 94605-2456 |
Second Address | San Leandro, CA 94578-1088 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2017 |
Last Update Date | 17/03/2018 |