Individual provider · Type 1 NPI

Charlissa Jones

Student in an Organized Health Care Education/Training Program · Berkeley, CA

NPI number 1194183079 Active

Practice location

2640 Martin Luther King Jr Way
Berkeley, CA 94704-3238

Call (510) 981-5290 Map

Fax (510) 981-5265

Other practice locations

  • 2640 Martin Luther King Jr Way, Berkeley, CA 94704-3238 · (510) 981-5290

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194183079

Charlissa Jones's National Provider Identifier is 1194183079, issued on Feb 5, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Berkeley, CA. The record was last updated on May 10, 2024.