Individual
JAI FLICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
554 MILLER AVE, SUITE 3, MILL VALLEY, CA 94941-5815
(415) 383-4412
Mailing address
55 W BLITHEDALE AVE, MILL VALLEY, CA 94941-1183
(415) 888-8411
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
11/20/2016
Last updated
11/20/2016
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