Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | P0404200946 | CA |
N | 225C00000X | Rehabilitation Counselor |
NPI | 1245358928 |
---|---|
Provider Name | Ms. Jillianne Paladino-Boyd |
First Address | Huntington Beach, CA 92648-1714 |
Second Address | Huntington Beach, CA 92648-1714 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 07/04/2021 |