Individual
AJI ISSAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 NEW STINE RD STE 120, BAKERSFIELD, CA 93309-2657
(559) 380-7884
Mailing address
PO BOX 21406, BAKERSFIELD, CA 93390-1406
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
134491
CA
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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