Most Relevant Information
Provider Data
| NPI Number: | 1003056987 |
| Provider Name: | CAROLYN ANN JOSIASSEN |
| Entity Type: | Individual |
| Taxonomy Code: | 225C00000X |
| Specialty: | Rehabilitation Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/04/2009 |
| Last Updated: | 03/04/2009 |
Provider Practice Location
7200 SKYWAY
PARADISE
CA
959693280
Practice Location Phone/Fax
| Phone: | 5308771965 |
| Fax: | 5308727784 |
Provider Mailing Location
7200 SKYWAY
PARADISE
CA
959693280
Provider Mailing Phone/Fax
| Phone: | 5308771965 |
| Fax: | 5308727784 |