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NPI Code Detail

MEDICARE: ESTELA RODRIGUEZ JEBRIL ASW

MEDICARE: ESTELA RODRIGUEZ JEBRIL ASW
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
1101YM0800XMental Health Counselor64529CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16467OTHERCAMEDICAL PROVIDER NUMBER

General Provider Information

NPI Number : 1437213972
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTELA RODRIGUEZ JEBRIL ASW
Provider Business Mailing Address
First Line : 9634 INDIAN CREEK WAY
Second Line :
City : ESCONDIDO
State : CA
Zip : 92026-6823
Country : US
Telephone Number : 760-715-5733
Fax Number : 760-297-1398
Provider Business Practice Location Address
First Line : 1029 N BROADWAY
Second Line :
City : ESCONDIDO
State : CA
Zip : 92026-3043
Country : US
Telephone Number : 760-291-8729
Fax Number : 760-489-4129
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2006
Last Update Date : 04/20/2015

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