Individual
MS. JESSICA KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCCI
Contact information
Practice address
6707 EMBARCADERO DR, STOCKTON, CA 95219-3382
(209) 956-4240
Mailing address
6707 EMBARCADERO DR, STOCKTON, CA 95219-3382
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PCCI2932
CA
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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