Individual
JORDAN BRE'ANN LITTLEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
708 WORKMAN ST, BAKERSFIELD, CA 93307
(661) 335-7100
Mailing address
3433 W SHAW AVE STE 103, FRESNO, CA 93711-3229
(559) 558-4051
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
42054
CA
167G00000X
Licensed Psychiatric Technician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568219855
TELECARE CORPORATION
CA
Enumeration date
05/01/2024
Last updated
12/09/2024
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