Individual
STACEY HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA EDS
Contact information
Practice address
217 REX AVE, JACKSON, CA 95642-2020
(209) 217-7175
Mailing address
217 REX AVE, JACKSON, CA 95642-2020
(209) 217-7175
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
220100616
CA
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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