Individual
MS. LAURA ELIZABETH JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3081 TEAGARDEN ST, SAN LEANDRO, CA 94577-5720
(510) 347-4620
Mailing address
547 JUANA AVE APT C, SAN LEANDRO, CA 94577-5049
(626) 244-4917
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
03/27/2012
Last updated
08/17/2016
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