Healthcare Provider Details

I. General information

NPI: 1972250702
Provider Name (Legal Business Name): JESSICA GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JESSICA ARZATE

II. Dates (important events)

Enumeration Date: 03/02/2022
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1236 CHAPALA ST
SANTA BARBARA CA
93101-3116
US

IV. Provider business mailing address

1236 CHAPALA ST
SANTA BARBARA CA
93101-3116
US

V. Phone/Fax

Practice location:
  • Phone: 805-965-2376
  • Fax:
Mailing address:
  • Phone: 805-965-2376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number18749
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: