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Individual

JESSICA GABRIELA ANDRADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APCC

Contact information

Practice address
1777 S 11TH ST, LOS BANOS, CA 93635-4800
(209) 675-2226
Mailing address
970 SOLARI AVE, STOCKTON, CA 95205-4245
(209) 938-8778

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC31371
CA

Other

Enumeration date
10/05/2023
Last updated
10/05/2023
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