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Jessica Luciana Runyan
Mental Health Counselor in Merced, California
NPI 1982268025

Jessica Luciana Runyan is a Mental Health Counselor based in Merced, CA and is specialized in Mental Health. Jessica Luciana Runyan practices in Merced, CA. The NPI Number for Jessica Luciana Runyan is 1982268025 and holds a License No. (California).

The current practice location address for Jessica Luciana Runyan is 301 E 13Th St, Merced, CA and can be reached out via phone at 209-381-6874.

Location: 301 E 13Th St, Merced, CA, 95341-6211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982268025
Provider Name
Jessica Luciana Runyan
Credential
Provider Entity Type
Individual
Gender
Female
Address
301 E 13Th St, Merced, CA, 95341-6211
Phone Number
209-381-6874
Fax Number
Provider Enumeration Date
04/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
301 E 13Th St
City
Merced
State
California
Zip
95341-6211
Phone Number
209-381-6874
Fax Number
person
Provider Business Mailing Address Details
Address
301 E 13Th St
City
Merced
State
California
Zip
95341-6211
Phone Number
209-381-6874
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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