Individual
JOY JULIA MCLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 AGNES AVE, SANTA MARIA, CA 93458-2838
(805) 457-3780
Mailing address
224 BUHNE ST, EUREKA, CA 95501-4107
(805) 975-7632
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
34049
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205480563
TELECARE AGNES AVE.
CA
Enumeration date
11/19/2008
Last updated
03/24/2020
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