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JESSICA ACOSTA

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1407130446

Individual Registrant:
 JESSICA  ACOSTA 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2124 MAIN ST SUITE 165 HUNTINGTON BEACH, CA 92648-2405 US
Tel: 714-536-0077  Fax: --

Contact information for business:
2124 MAIN ST SUITE 165 HUNTINGTON BEACH, CA 92648-2405 US
Tel: 714-536-0077  Fax: --

Registration Information:
NPI: 1407130446
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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