Provider Demographics
NPI:1184435265
Name:JAUJOU, LADONNA KAY (MA PPS)
Entity type:Individual
Prefix:
First Name:LADONNA
Middle Name:KAY
Last Name:JAUJOU
Suffix:
Gender:F
Credentials:MA PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5225 KELSO VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:WELDON
Mailing Address - State:CA
Mailing Address - Zip Code:93283-9564
Mailing Address - Country:US
Mailing Address - Phone:760-337-8130
Mailing Address - Fax:
Practice Address - Street 1:5225 KELSO VALLEY RD
Practice Address - Street 2:
Practice Address - City:WELDON
Practice Address - State:CA
Practice Address - Zip Code:93283-9564
Practice Address - Country:US
Practice Address - Phone:760-337-8130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA240132813103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool