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NPI Code Detail

MEDICARE: MS. JESSICA A. DALY AMFT #148725

MEDICARE: MS. JESSICA A. DALY AMFT #148725
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 Counselor148725CA

General Provider Information

NPI Number : 1437469293
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JESSICA A. DALY AMFT #148725
Provider Business Mailing Address
First Line : 1735 MISSION ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94103-2417
Country : US
Telephone Number : 760-741-1015
Fax Number : 760-747-7128
Provider Business Practice Location Address
First Line : 1341 N ESCONDIDO BLVD
Second Line :
City : ESCONDIDO
State : CA
Zip : 92026-2507
Country : US
Telephone Number : 760-741-1015
Fax Number : 760-747-7128
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2010
Last Update Date : 12/26/2024

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