Individual provider · Type 1 NPI

Jason Vergara

Mental Health Counselor · San Francisco, CA

NPI number 1255662292 Active

Practice location

887 Potrero Ave
San Francisco, CA 94110-2869

Fax (415) 206-6469

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1255662292

Jason Vergara's National Provider Identifier is 1255662292, issued on Jan 14, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Francisco, CA. The record was last updated on Jan 14, 2010.