NPI 1003336397

Jaden Elijah Champion

Practitioner Clinical Social Worker Fresno, CA

Practice location

Address: 4785 N First St, Fresno, CA 93726
Phone: (559) 448-4879

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 108234 (CA)

Other Social Worker providers in California →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 91813 (CA)

Other Counselor providers in California →

Registry record

NPI: 1003336397
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jun 2017
Record last updated: 19 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.