Individual provider · Type 1 NPI

Jessica Crystal Waterford, BA

Mental Health Counselor · San Jose, CA

NPI number 1801931076 Active

Practice location

1000 Blossom River Way Apt 533
San Jose, CA 95123-6346

Call (408) 518-9311 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1801931076

Jessica Crystal Waterford, BA's National Provider Identifier is 1801931076, issued on Feb 21, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Jul 8, 2007.