Organization · Type 2 NPI
Jessica A Millanponce, Licensed Clinical Social Worker, PC
Mental Health Counselor · San Diego, CA
NPI number
1104550359
Active
Practice location
7290 Navajo Rd Ste 109
San Diego, CA 92119-1631
Mailing address
PO Box 710971
Santee, CA 92072-0971
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1104550359
Jessica A Millanponce, Licensed Clinical Social Worker, PC's National Provider Identifier is 1104550359, issued on Jul 13, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Jul 13, 2022.