Organization
LA CHEIM SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL JURANOVICH MFT INTERN (THERAPIST)
(925) 777-1133
Entity
Organization
Contact information
Practice address
1413 F ST, ANTIOCH, CA 94509-2220
(925) 777-1133
Mailing address
1413 F ST, ANTIOCH, CA 94509-2220
(925) 777-1133
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
149761
CA
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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