Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003014382 |
---|---|
Provider Name | Ms. Lori Jo Tonkin |
First Address | San Diego, CA 92110-3447 |
Second Address | Oceanside, CA 92057-6445 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2007 |
Last Update Date | 08/07/2007 |