Individual provider · Type 1 NPI

Jacob Cepollina

Mental Health Counselor · San Diego, CA

NPI number 1215548086 Active

Practice location

3420 Kenyon St
San Diego, CA 92110-5001

Mailing address

PO Box 12815
San Diego, CA 92112-3815

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800X112103 (CA)

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About NPI 1215548086

Jacob Cepollina's National Provider Identifier is 1215548086, issued on Aug 13, 2020. 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 4, 2023.