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NPI Code Detail

MEDICARE: JOHANNA JEANNE ORENCIA TU

MEDICARE: JOHANNA JEANNE ORENCIA TU
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
1101YP2500XProfessional Counselor20781CA

General Provider Information

NPI Number : 1215891924
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHANNA JEANNE ORENCIA TU
Provider Business Mailing Address
First Line : 2423 W MARCH LN STE 200
Second Line :
City : STOCKTON
State : CA
Zip : 95207-8250
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2423 W MARCH LN STE 200
Second Line :
City : STOCKTON
State : CA
Zip : 95207-8250
Country : US
Telephone Number : 209-623-1411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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Directions to “ JOHANNA JEANNE ORENCIA TU ” Practice Location

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