Healthcare Provider Details
I. General information
NPI: 1104712413
Provider Name (Legal Business Name): JESSICA MARIE ZEITSOFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/13/2025
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6100 STOW CANYON RD
GOLETA CA
93117-1705
US
IV. Provider business mailing address
830 EUCALYPTUS AVE
SANTA BARBARA CA
93101-3906
US
V. Phone/Fax
- Phone: 805-967-6522
- Fax:
- Phone: 805-453-1135
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041S0200X |
| Taxonomy | School Social Worker |
| License Number | |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: