Jacqueline S. Bixby

NPI #1043860752 in Hermosa Beach, California

Provider Information

NPI Number: 1043860752
Entity Type: Individual
Name: Jacqueline S. Bixby
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Sep 14, 2019
Last Updated: Sep 14, 2019

Practice Location

Address: 2200 PACIFIC COAST HWY STE 304A
City: Hermosa Beach
State: California
ZIP Code: 90254-2702
Phone: (323) 445-4402

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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