Individual provider · Type 1 NPI
Jessie James King Jr.
Counselor · Oakland, CA
NPI number
1720508039
Active
Practice location
9925 International Blvd Suite #5, 9925 International Blvd Suite #5
Oakland, CA 94603
Mailing address
9925 International Blvd Ste 59925
Oakland, CA 94603-2558
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1720508039
Jessie James King Jr.'s National Provider Identifier is 1720508039, issued on Jun 27, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Oakland, CA. The record was last updated on Jun 16, 2018.