Individual provider · Type 1 NPI

Jessica Adesuwa Agbonkpolo, MS, LCSW

Mental Health Counselor · San Bernardino, CA

NPI number 1508609850 Active

Practice location

255 N D St Ste 400
San Bernardino, CA 92401-1715

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X111363 (CA)
Mental Health Counselor Primary 101YM0800X111363 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1508609850

Jessica Adesuwa Agbonkpolo, MS, LCSW's National Provider Identifier is 1508609850, issued on Jun 14, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Bernardino, CA. The record was last updated on Jun 14, 2024.