Provider Demographics
NPI:1073679296
Name:MOLAND, JESSICA SKINNER (MS, CGC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:SKINNER
Last Name:MOLAND
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:LEIGH
Other - Last Name:SKINNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1188 N EUCLID ST RM 220
Mailing Address - Street 2:KAISER PERMANENTE
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-1900
Mailing Address - Country:US
Mailing Address - Phone:714-254-2704
Mailing Address - Fax:714-254-2953
Practice Address - Street 1:1188 N EUCLID ST
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-1900
Practice Address - Country:US
Practice Address - Phone:714-254-2704
Practice Address - Fax:714-254-2953
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS