Individual
TEDDI MICHELE PLUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5079 HIGHWAY 140, MARIPOSA, CA 95338-2434
(209) 742-5080
Mailing address
4045 BEN HUR RD, MARIPOSA, CA 95338-9467
(530) 208-7449
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
7466
CA
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/06/2014
Last updated
08/20/2021
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