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NPI Code Detail

MEDICARE: JALEESA JAMISON APCC

MEDICARE: JALEESA JAMISON APCC
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
1101YP2500XProfessional CounselorAPCC19762CA
2373H00000XDay Training/Habilitation SpecialistCA
3171M00000XCase Manager/Care CoordinatorCA

General Provider Information

NPI Number : 1639924715
Entity Type Code : Individual
Provider Name (Legal Business Name) : JALEESA JAMISON APCC
Provider Business Mailing Address
First Line : 176 HOLSTON DR
Second Line :
City : LANCASTER
State : CA
Zip : 93535-4531
Country : US
Telephone Number : 213-655-7440
Fax Number :
Provider Business Practice Location Address
First Line : 176 HOLSTON DR
Second Line :
City : LANCASTER
State : CA
Zip : 93535-4531
Country : US
Telephone Number : 213-655-7440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2024
Last Update Date : 02/02/2026

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Directions to “ JALEESA JAMISON APCC” Practice Location

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