Individual provider · Type 1 NPI

Jacqueline Kurniawan

Mental Health Counselor · Anaheim, CA

NPI number 1497268544 Active

Practice location

2531 W Woodland Dr
Anaheim, CA 92801-2637

Fax (714) 226-9887

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1497268544

Jacqueline Kurniawan's National Provider Identifier is 1497268544, issued on Nov 13, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Anaheim, CA. The record was last updated on Nov 13, 2017.