| 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 |