JERRICKSON DANIEL AJEX PALVANNAN

BAKERSFIELD, CA
NPI1942703715
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: CA  LPCC19831)
Additional Taxonomies106H00000X Marriage & Family Therapist
(Licence: CA  AMFT127180)
Enumeration Date2018-03-17
Last Update Date2025-08-15
Business Address
JERRICKSON DANIEL AJEX PALVANNAN
425 S H ST
BAKERSFIELD, CA 93304-3930
Phone number: 661-364-6419
Mailing Address
JERRICKSON DANIEL AJEX PALVANNAN
PO BOX 3483
BAKERSFIELD, CA 93385-3483
Phone number: 661-364-6419