Individual
ALEXANDER JUARROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 E MENDOCINO AVE, WILLITS, CA 95490-3508
(707) 459-6222
Mailing address
631 S ORCHARD AVE, UKIAH, CA 95482-5011
(707) 467-2010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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