Individual provider · Type 1 NPI

Jesse Juarez

Mental Health Counselor · Upland, CA

NPI number 1629107644 Active

Practice location

934 N Mountain Ave, Ste C
Upland, CA 91786-3659

Fax (909) 579-8149

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1629107644

Jesse Juarez's National Provider Identifier is 1629107644, issued on Mar 5, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Upland, CA. The record was last updated on Jul 8, 2007.