Individual provider · Type 1 NPI

Jessica Lynn Deatherage, MC TRAINEE

Professional Counselor · Auburn, CA

NPI number 1245046168 Active

About NPI 1245046168

Jessica Lynn Deatherage, MC TRAINEE's National Provider Identifier is 1245046168, issued on Dec 5, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Auburn, CA. The record was last updated on Dec 5, 2024.