JACLYN KYRA WAITE

CLAREMONT, CA
NPI1972023802
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  98615)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: CA  83988)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-06-21
Last Update Date2022-07-21
Business Address
JACLYN KYRA WAITE LCSW
250 W 1ST ST STE 214
CLAREMONT, CA 91711-4743
Phone number: 909-451-9941
Mailing Address
JACLYN KYRA WAITE LCSW
149 W LAMBERT RD
BREA, CA 92821-4042
Phone number: 714-598-2052