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NPI Code Detail

MEDICARE: JESSICA MANY LPCC

MEDICARE: JESSICA MANY LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor37AC00124400NJ
2101YM0800XMental Health CounselorLPCC7462CA

General Provider Information

NPI Number : 1396083010
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA MANY LPCC
Provider Business Mailing Address
First Line : 4930 NAPLES ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92110-3820
Country : US
Telephone Number : 619-332-8553
Fax Number :
Provider Business Practice Location Address
First Line : 4930 NAPLES ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92110-3820
Country : US
Telephone Number : 619-332-8553
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2013
Last Update Date : 02/07/2020

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Directions to “ JESSICA MANY LPCC” Practice Location

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