Individual provider · Type 1 NPI

Jessica Briana Sample

Mental Health Counselor · Pomona, CA

NPI number 1932758869 Active

Practice location

1050 N Garey Ave
Pomona, CA 91767-3802

Call (909) 623-6391 Map

Fax (909) 620-9491

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X19-155 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800X19-155 (CA)

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About NPI 1932758869

Jessica Briana Sample's National Provider Identifier is 1932758869, issued on Sep 4, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pomona, CA. The record was last updated on Jan 13, 2022.