Healthcare Provider Details
I. General information
NPI: 1730466863
Provider Name (Legal Business Name): FLOWER JESINIA GARCIA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/03/2011
Last Update Date: 06/08/2023
Certification Date: 06/08/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1701 WESTWIND DR STE 110
BAKERSFIELD CA
93301-3045
US
IV. Provider business mailing address
PO BOX 13652
BAKERSFIELD CA
93389-3652
US
V. Phone/Fax
- Phone: 323-741-1667
- Fax:
- Phone: 323-741-1667
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 84543 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: