Jessica E Damiano

NPI #1104194711 in Fairfield, California

Provider Information

NPI Number: 1104194711
Entity Type: Individual
Name: Jessica E Damiano
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Dec 9, 2011
Last Updated: Dec 9, 2011

Practice Location

Address: 1735 ENTERPRISE DR
Address 2: SUITE 105 A
City: Fairfield
State: California
ZIP Code: 94533-6822
Phone: (707) 450-7647

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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