Jessica Wales
Counselor, Mental Health in San Diego, CA. Individual provider (NPI-1).
NPI number1427355437
StatusActive
Last updated in NPPESFeb 28, 2011
Details
- NPI
- 1427355437
- Entity type
- Individual (NPI-1)
- Name
- Jessica Wales
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2011
- Last updated
- Feb 28, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
2535 Kettner BlvdSan Diego, CA 92101-1250
Phone 619-615-0705
Mailing address
2535 Kettner BlvdSan Diego, CA 92101-1250
Phone 619-615-0705
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