Individual
JISCEL PIEDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
233 BASELINE RD, LA VERNE, CA 91750-2353
(909) 593-2581
Mailing address
PO BOX 400, LA VERNE, CA 91750-0400
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12406
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/23/2022
Last updated
11/08/2022
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