Jesus Becerra
Counselor in Fairfield, CA. Individual provider (NPI-1).
NPI number1043861024
StatusActive
Last updated in NPPESJun 25, 2020
Details
- NPI
- 1043861024
- Entity type
- Individual (NPI-1)
- Name
- Jesus Becerra
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 22, 2019
- Certification date
- Jun 25, 2020
- Last updated
- Jun 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
1234 Empire St Ste 2130Fairfield, CA 94533-5711
Phone 707-595-0419
Mailing address
1234 Empire St Ste 2130Fairfield, CA 94533-5711
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