Organization
JJIREH LICENSED CLINICAL SOCIAL WORKER, INC.
Active
Organization
JJIREH LICENSED CLINICAL SOCIAL WORKER, INC.
Active
Other names
Counseling and More
Organization subpart
No
Provider details
NPI number
Authorized official
LETTIE ORDONE LCSW (EXECUTIVE DIRECTOR)
(209) 640-4179
Entity
Organization
Contact information
Practice address
4600 S TRACY BLVD, SUITE 106, TRACY, CA 95377-8105
(209) 640-4179
(209) 207-9225
Mailing address
4600 S TRACY BLVD, SUITE 106, TRACY, CA 95377-8105
(209) 640-4179
(209) 207-9225
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
24606
CA
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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