Individual provider · Type 1 NPI

Jessica Anne Ivy

Mental Health Counselor · Rancho Cucamonga, CA

NPI number 1942013792 Active

Practice location

7365 Carnelian St Ste 240
Rancho Cucamonga, CA 91730-1136

Mailing address

11651 Richmond St
Riverside, CA 92505-3259

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1942013792

Jessica Anne Ivy's National Provider Identifier is 1942013792, issued on Jan 27, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Dec 16, 2025.