Individual
JESSICA FITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
137 E OAK ST, FORT BRAGG, CA 95437-3610
(707) 961-0172
(844) 388-6167
Mailing address
PO BOX 2168, FORT BRAGG, CA 95437-2168
(707) 961-0172
(844) 388-6167
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/15/2017
Last updated
04/01/2025
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