Individual
JUAN JOSE CARRASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
426 N BLACKSTONE ST, TULARE, CA 93274-4449
(559) 688-2021
Mailing address
426 N BLACKSTONE ST, TULARE, CA 93274-4449
(559) 688-2021
(559) 687-7317
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
210042321
CA
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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