Individual
JESSICA MARIE MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3725 TAYLOR RD STE 1, LOOMIS, CA 95650-9283
(916) 652-5814
Mailing address
PO BOX 1403, LOOMIS, CA 95650-1403
(530) 391-6697
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
03/25/2020
Last updated
06/04/2025
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