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Jonathan Depeyer

Rehabilitation Counselor in South Pasadena, CA. Individual provider (NPI-1).

NPI number1124157789
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1124157789
Entity type
Individual (NPI-1)
Name
Jonathan Depeyer
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 2, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225C00000X Rehabilitation Counselor––Yes

Practice location

625 Fair Oaks Ave
South Pasadena, CA 91030-2630

Phone 626-395-7100 · Fax 626-799-7250

Mailing address

625 Fair Oaks Ave
South Pasadena, CA 91030-2630

Phone 626-395-7100 · Fax 626-799-7250

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