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Jessica L Avalos

Counselor, Mental Health in Stockton, CA. Individual provider (NPI-1).

NPI number1124530951
StatusActive
Last updated in NPPESNov 2, 2017

Details

NPI
1124530951
Entity type
Individual (NPI-1)
Name
Jessica L Avalos
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 2, 2017
Last updated
Nov 2, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

1212 N California St
Stockton, CA 95202-1552

Phone 209-468-8686

Mailing address

1212 N California St
Stockton, CA 95202-1552

Phone 209-468-8686

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