Jiwon Back
Jiwon Back is a Marriage & Family Therapist in Fullerton, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2015
Practice location Address checks out
112 E Amerige Ave Ste 209Fullerton, CA 92832-1920
Phone: (714) 253-4506
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Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 93786 (CA) |
|---|
Record details
| NPI number | 1750772257 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 5, 2015 |
| Last updated in NPPES | January 23, 2023 |
| Certification date | January 23, 2023 |
| Mailing address | 112 E Amerige Ave Ste 209, Fullerton, CA 92832-1920 |
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