Individual
JESSICA RYAN-GRAVES ROTHWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2087 LIMEWOOD DR, SAN JOSE, CA 95132-1234
(214) 326-9633
Mailing address
PO BOX 32392, SAN JOSE, CA 95152-2392
(214) 326-9633
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
18119
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/01/2023
Last updated
01/22/2025
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