Most Relevant Information
Provider Data
| NPI Number: | 1003066937 |
| Provider Name: | JEANINE MIDDLETON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/29/2008 |
| Last Updated: | 09/29/2008 |
Provider Practice Location
760 WEST MOUNTAIN VIEW STREET
ALTADENA
CA
91001
Practice Location Phone/Fax
| Phone: | 6267986793 |
| Fax: |
Provider Mailing Location
760 WEST MOUNTAIN VIEW STREET
ALTADENA
CA
91001
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |