Jessica Carpenter, MHS
Student in an Organized Health Care Education/Training Program in San Jose, CA. Individual provider (NPI-1).
NPI number1437752011
StatusActive
Last updated in NPPESAug 1, 2025
Details
- NPI
- 1437752011
- Entity type
- Individual (NPI-1)
- Name
- Jessica Carpenter
- Credential
- MHS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 17, 2020
- Certification date
- Aug 1, 2025
- Last updated
- Aug 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Practice location
2001 The AlamedaSan Jose, CA 95126-1136
Phone 408-261-7777 · Fax 408-642-6052
Mailing address
1922 The Alameda Ste 316San Jose, CA 95126-1461
Phone 408-261-7777 · Fax 408-642-6052
Other practice locations
9505 Malech Dr
San Jose, CA 95138-2002
San Jose, CA 95138-2002
Phone 408-281-6570 · Fax 408-642-6052
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