Individual
JERRICKSON DANIEL AJEX PALVANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 S H ST, BAKERSFIELD, CA 93304-3930
(661) 364-6419
Mailing address
PO BOX 3483, BAKERSFIELD, CA 93385-3483
(661) 364-6419
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC19831
CA
106H00000X
Marriage & Family Therapist
AMFT127180
CA
Other
Enumeration date
03/17/2018
Last updated
08/15/2025
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