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JESSICA EHLERS

>> Community/Behavioral Health >> Agencies

Registrant NPI Number: 1003249525

Individual Registrant:
 JESSICA  EHLERS 
Gender: F
Sole Proprietor

Location and contact information for practice:
32670 HIGHWAY 20 UNIT 2  FORT BRAGG, CA 95437-5708 US
Tel: 707-964-1136  Fax: --

Contact information for business:
32670 HIGHWAY 20 UNIT 2  FORT BRAGG, CA 95437-5708 US
Tel: 707-964-1136  Fax: --

Registration Information:
NPI: 1003249525
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N251S00000XAgencies
Community/Behavioral Health
CAMFC41677
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
CAASW68402

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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