Healthcare Provider Details
I. General information
NPI: 1871005579
Provider Name (Legal Business Name): JAMELA CHANTEL FRANKLIN COUNSELOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/02/2017
Last Update Date: 05/18/2025
Certification Date: 05/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
508 ALABAMA ST
VALLEJO CA
94590-4446
US
IV. Provider business mailing address
508 ALABAMA ST
VALLEJO CA
94590-4446
US
V. Phone/Fax
- Phone: 510-318-6112
- Fax: 510-569-4589
- Phone: 510-318-6112
- Fax: 510-569-4589
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 372600000X |
| Taxonomy | Adult Companion |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: