Healthcare Provider Details

I. General information

NPI: 1174400386
Provider Name (Legal Business Name): J&J HEALING JOURNEYS LICENSED PROFESSIONAL CLINICAL COUNSELOR INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27128A PASEO ESPADA STE 1522
SAN JUAN CAPISTRANO CA
92675-2725
US

IV. Provider business mailing address

27128A PASEO ESPADA STE 1522
SAN JUAN CAPISTRANO CA
92675-2725
US

V. Phone/Fax

Practice location:
  • Phone: 213-286-1031
  • Fax:
Mailing address:
  • Phone: 213-286-1031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER SCHILLING
Title or Position: CEO
Credential:
Phone: 213-286-1031