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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