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Jeannie Ly
School Counselor in Moreno Valley, California
NPI 1578017125

Jeannie Ly is a School Counselor based in Moreno Valley, CA and is specialized in School. Jeannie Ly practices in Moreno Valley, CA. The NPI Number for Jeannie Ly is 1578017125 and holds a License No. PCCI2179 (California).

The current practice location address for Jeannie Ly is 14687 Round Leaf Rd, Moreno Valley, CA and can be reached out via phone at 951-488-1929.

Location: 14687 Round Leaf Rd, Moreno Valley, CA, 92555-4742
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578017125
Provider Name
Jeannie Ly
Credential
Provider Entity Type
Individual
Gender
Female
Address
14687 Round Leaf Rd, Moreno Valley, CA, 92555-4742
Phone Number
951-488-1929
Fax Number
Provider Enumeration Date
08/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14687 Round Leaf Rd
City
Moreno Valley
State
California
Zip
92555-4742
Phone Number
951-488-1929
Fax Number
person
Provider Business Mailing Address Details
Address
14687 Round Leaf Rd
City
Moreno Valley
State
California
Zip
92555-4742
Phone Number
951-488-1929
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
(California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
101YS0200X
License No.
PCCI2179 (California)
Definition
Definition to come...
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