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Amy Julaine Foraker, LPCC
Professional Counselor in Jackson, California
NPI 1043088164

Amy Julaine Foraker is a Professional Counselor based in Ione, CA and is specialized in Professional. Amy Julaine Foraker practices in Jackson, CA and has the professional credentials of LPCC. The NPI Number for Amy Julaine Foraker is 1043088164 and holds a License No. 12728 (California).

The current practice location address for Amy Julaine Foraker is 1001 Broadway Ste 104, Jackson, CA and can be reached out via phone at 209-256-1542.

Location: 1001 Broadway Ste 104, Jackson, CA, 95640-5207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043088164
Provider Name
Amy Julaine Foraker
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
1001 Broadway Ste 104, Jackson, CA, 95640-5207
Phone Number
209-256-1542
Fax Number
Provider Enumeration Date
12/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1001 Broadway Ste 104
City
Jackson
State
California
Zip
95642-2649
Phone Number
209-256-1542
Fax Number
person
Provider Business Mailing Address Details
Address
1001 Broadway Ste 104
City
Jackson
State
California
Zip
95642-2649
Phone Number
209-256-1542
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
12728 (California)
Definition
Definition to come...
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