Healthcare Provider Details

I. General information

NPI: 1801617568
Provider Name (Legal Business Name): JARONDA SESSION LICENSED CLINICAL SOCIAL WORKER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2024
Last Update Date: 10/24/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15975 PARKVIEW LOOP
SAN DIEGO CA
92127
US

IV. Provider business mailing address

10531 4S COMMONS DR STE#V 804
SAN DIEGO CA
92127
US

V. Phone/Fax

Practice location:
  • Phone: 858-752-5069
  • Fax:
Mailing address:
  • Phone: 858-752-5069
  • Fax: 858-832-8056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. JARONDA SESSION
Title or Position: CEO
Credential: LCSW
Phone: 858-752-5069