Individual provider · Type 1 NPI
Jackie Lebaron
Mental Health Counselor · Bieber, CA
NPI number
1912030669
Active
Practice location
125 Hwy 299 E
Bieber, CA 96009
Mailing address
PO Box 40
Bieber, CA 96009-0040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1912030669
Jackie Lebaron's National Provider Identifier is 1912030669, issued on Mar 13, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bieber, CA. The record was last updated on Sep 22, 2010.