Individual provider · Type 1 NPI

Jesus Edgar Briseno

Mental Health Counselor · San Leandro, CA

NPI number 1174174643 Active

Practice location

2275 Arlington Dr
San Leandro, CA 94578-1132

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1174174643

Jesus Edgar Briseno's National Provider Identifier is 1174174643, issued on Sep 25, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Leandro, CA. The record was last updated on Sep 25, 2019.