Individual
MS. JENNIFER LYNN SOARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2575 E PERRIN AVE STE 110, FRESNO, CA 93720
(209) 988-0801
Mailing address
2084 E RUSH AVE, FRESNO, CA 93730-4700
(209) 988-0801
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY26060
CA
Other
Enumeration date
05/08/2009
Last updated
09/05/2018
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