Individual
KALISSA JARDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
1928 W NICOLET ST, BANNING, CA 92220-4032
(951) 922-0254
Mailing address
2061 W REDLANDS BLVD APT 3B, REDLANDS, CA 92373-6231
(909) 712-7534
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
230139063
CA
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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