Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003066416 |
---|---|
Provider Name | Ms. Jann Carol Malone |
First Address | Salinas, CA 93908-9601 |
Second Address | Salinas, CA 93908-9601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2008 |
Last Update Date | 22/09/2008 |