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Individual

JENNIFER LEMUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
205 39TH ST, RICHMOND, CA 94805-2212
(510) 412-5930
Mailing address
1118 CHANSLOR AVE, RICHMOND, CA 94801-3546
(415) 375-2382

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
104100000X
Social Worker
Primary
1041C0700X
Clinical Social Worker
103380
CA
106S00000X
Behavior Technician
RBT-17-33319
CA
390200000X
Student in an Organized Health Care Education/Training Program
CA

Other

Enumeration date
11/29/2017
Last updated
05/09/2023
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