Individual
JOSE ISMAEL CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4801 SISK RD, SALIDA, CA 95368-9445
(209) 545-0339
Mailing address
4801 SISK RD, SALIDA, CA 95368-9445
(209) 545-0339
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
CA
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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