Individual
JESSICA PANOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2550 W CLINTON AVE R, S, Y, D, P, FRESNO, CA 93705-4201
(559) 264-7521
Mailing address
5451 N GATES AVE APT 228, FRESNO, CA 93722-6024
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
104100000X
Social Worker
Primary
ASW116555
CA
1041C0700X
Clinical Social Worker
ASW116555
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2018
Last updated
01/09/2025
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