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JULIA EAGLES MHRS

>> Rehabilitation Counselor >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1174030613

Individual Registrant:
 JULIA  EAGLES MHRS
Gender: F
Not Sole Proprietor

Location and contact information for practice:
546 S MAIN ST  FORT BRAGG, CA 95437-5107 US
Tel: 707-472-0350  Fax: --

Contact information for business:
PO BOX 1449  UKIAH, CA 95482-1449 US
Tel: 707-472-0350  Fax: 707-472-0358

Registration Information:
NPI: 1174030613
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Rehabilitation Counselor
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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