Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
Y | 101YP1600X | Pastoral Counselor |
NPI | 1124372735 |
---|---|
Provider Name | Mr. Juan Jesus Alaniz |
First Address | Turlock, CA 95382-9217 |
Second Address | Turlock, CA 95382-9217 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2012 |
Last Update Date | 05/11/2012 |