Individual
JESSICA LIANNA MAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDM, MA
Contact information
Practice address
346 PLEASANT ST, PASADENA, CA 91101-3905
(646) 248-8744
Mailing address
936 HOKULANI ST, HONOLULU, HI 96825-1024
(646) 248-8744
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
190156571
CA
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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