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NPI Code Detail

MEDICARE: JORDANAH ELAINE RYMEL

MEDICARE: JORDANAH ELAINE RYMEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystD7836599CA
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1053951483
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDANAH ELAINE RYMEL
Provider Business Mailing Address
First Line : 2928 HAMMONTON SMARTVILLE RD SPC 57
Second Line :
City : MARYSVILLE
State : CA
Zip : 95901-8028
Country : US
Telephone Number : 530-812-4548
Fax Number :
Provider Business Practice Location Address
First Line : 448 GARDEN HWY
Second Line :
City : YUBA CITY
State : CA
Zip : 95991-6348
Country : US
Telephone Number : 530-702-0090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2020
Last Update Date : 04/08/2022

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Directions to “ JORDANAH ELAINE RYMEL ” Practice Location

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