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Individual
KESJANA CAKE
Active
Individual
KESJANA CAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, MA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
126135
IA
103TC0700X
Clinical Psychologist
Primary
29835
CA
Other
Enumeration date
07/20/2009
Last updated
09/01/2024
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