Individual provider · Type 1 NPI

Joanna Jazmin Cornejo

Addiction (Substance Use Disorder) Counselor · King City, CA

NPI number 1235740325 Active

Practice location

641 Broadway St
King City, CA 93930-3231

Mailing address

243 8th St
Greenfield, CA 93927-5118

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1235740325

Joanna Jazmin Cornejo's National Provider Identifier is 1235740325, issued on Aug 12, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in King City, CA. The record was last updated on Aug 12, 2020.