Individual
JESSICA CARMONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 N BROOKHURST ST, ANAHEIM, CA 92801-3832
(714) 234-3057
Mailing address
501 N CRESCENT WAY, ANAHEIM, CA 92801-5401
(714) 234-3057
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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