Individual
BARRY JAY WASSERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
344 PLACERVILLE DR STE 17, PLACERVILLE, CA 95667-3972
(530) 621-6220
Mailing address
344 PLACERVILLE DR, PLACERVILLE, CA 95667-3920
(530) 409-2954
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/06/2007
Last updated
05/20/2014
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