Individual
MS. JESSICA LYNN RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
121 PINE LN, GRASS VALLEY, CA 95945-7532
(530) 514-0243
Mailing address
PO BOX 2329, NEVADA CITY, CA 95959-1946
(530) 514-0243
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
100379
CA
Other
Enumeration date
03/15/2007
Last updated
12/26/2023
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