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Individual
JEANNIE CAROLYN MERANDA
Active
Individual
JEANNIE CAROLYN MERANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CATC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
J0326764
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373781
—
CA
Enumeration date
05/12/2008
Last updated
08/23/2011
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