Provider Demographics
NPI:1972310308
Name:JARA, CINDY E (PPS)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:E
Last Name:JARA
Suffix:
Gender:F
Credentials:PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 E BARISTO RD
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-7127
Mailing Address - Country:US
Mailing Address - Phone:760-778-0400
Mailing Address - Fax:
Practice Address - Street 1:2401 E BARISTO RD
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-7127
Practice Address - Country:US
Practice Address - Phone:760-778-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool