Jessica Lynn Deatherage, MC TRAINEE
NPI #1245046168 in Auburn, California
Provider Information
- NPI Number
- 1245046168
- Entity Type
- Individual
- Name
- Jessica Lynn Deatherage, MC TRAINEE
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- MC TRAINEE
- Enumeration Date
- Dec 5, 2024
- Last Updated
- Dec 5, 2024
Practice Location
- Address
- 1275 HIGH ST
- City
- Auburn
- State
- California
- ZIP Code
- 95603-5016
- Phone
- (530) 264-8804
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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