Jesirayla Mali Khamsouk

NPI #1306456124 in Santa Clarita, California

Provider Information

NPI Number: 1306456124
Entity Type: Individual
Name: Jesirayla Mali Khamsouk
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 6, 2020
Last Updated: Aug 19, 2024

Practice Location

Address: 21545 CENTRE POINTE PKWY
City: Santa Clarita
State: California
ZIP Code: 91350-2947
Phone: (661) 259-9439

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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