Provider Demographics
NPI:1649302415
Name:JOHL, BALJINDER KAUR
Entity type:Individual
Prefix:
First Name:BALJINDER
Middle Name:KAUR
Last Name:JOHL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8403 BAILEY RD
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-9524
Mailing Address - Country:US
Mailing Address - Phone:530-822-5230
Mailing Address - Fax:530-822-5004
Practice Address - Street 1:8403 BAILEY RD
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-9524
Practice Address - Country:US
Practice Address - Phone:530-822-5230
Practice Address - Fax:530-822-5004
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool