NPI | 1336632926 |
---|---|
Other Name | JAY NEWBERRY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 7140) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT117035) |
Enumeration Date | 2018-06-08 |
Last Update Date | 2020-08-05 |