Doctor Name: | JEANNE MARIE MAY |
NPI Number: | 1356748412 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CATC |
License Number: | 051167 |
Business Practice Address: | 5607 Mount Murphy Road Garden Valley, CA - 95633 |
Business Phone Number: | 5303339460 |
Business Fax Number: | 5303331019 |
Mailing Address: | 5607 Mount Murphy Road, GARDEN VALLEY |
State: | CA |
Postal Code: | 95633 |
Phone Number: | 5303339460 |
Fax Number: | 5303331019 |
NPI Enumeration Date: | 12/04/2014 |
NPI Last Update Date: | 12/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 051167 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |