Individual
JESSICA AWINITA STAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
408 BROAD ST, STE 10B, NEVADA CITY, CA 95959-2455
(530) 210-6202
Mailing address
PO BOX 2008, NEVADA CITY, CA 95959-1941
(530) 210-6202
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 24773
CA
Other
Enumeration date
05/21/2008
Last updated
08/25/2021
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