Jennifer Lynn Yaghoubian, PPS
Individual provider Active NPI School Counselor · Mentone, CA
NPI 1962255752 · NPPES record last updated Apr 10, 2024
Key facts
- NPI
- 1962255752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Counselor 101YS0200X
- License
- 200065241 (CA)
- Practice address
- 1320 Crafton Ave
Mentone, CA 92359-1318 - Phone
- (909) 800-4679
- NPI assigned
- Apr 10, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200065241 | CA | MD | School Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 200065241 | CA | Yes |
Addresses
Primary practice location
1320 Crafton Ave
Mentone, CA 92359-1318
Mailing address
20 W Lugonia Ave
Redlands, CA 92374-2234
Phone (909) 800-4679
Other names
- Ms. Jennifer Lynn Croft
Other providers in Mentone, CA
All providers in Mentone, CA · School Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.