Individual
JESSICA A KACZOROWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4768 PARK GRANADA, SUITE 101, CALABASAS, CA 91302
(805) 267-9466
Mailing address
1260 ELLA ST, UNIT 3, SAN LUIS OBISPO, CA 93401
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
26784
CA
Other
Enumeration date
06/17/2009
Last updated
02/16/2016
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