Jody A Balboa
Marriage & Family Therapist in Hemet, CA. Individual provider (NPI-1).
NPI number1487825691
StatusActive
Last updated in NPPESAug 20, 2019
Details
- NPI
- 1487825691
- Entity type
- Individual (NPI-1)
- Name
- Jody A Balboa
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 14, 2008
- Last updated
- Aug 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 101168 | CA | Yes |
Other names
- Jody A Ruggiero (Former Name)
Practice location
541 N. San Jacinto AveHemet, CA 92544
Phone 951-791-3031
Mailing address
541 N San Jacinto StHemet, CA 92543-3107
Phone 951-791-3031
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