Individual
JOHN STEPHEN JUNIPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
12908 RIMMON RD, EASTVALE, CA 92880-3439
(951) 205-9191
Mailing address
12908 RIMMON RD, EASTVALE, CA 92880-3439
(951) 205-9191
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PCI 18
CA
101YS0200X
School Counselor
PPS 120001848
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YA0400X
MEDI-CAL
CA
Enumeration date
10/06/2011
Last updated
04/10/2024
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