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JESSICA YVETTE ARTILES

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1720579626

Individual Registrant:
 JESSICA YVETTE ARTILES 
Gender: F
Sole Proprietor

Location and contact information for practice:
439 MILTON AVE  SAN BRUNO, CA 94066-4405 US
Tel: 650-296-7251  Fax: --

Contact information for business:
439 MILTON AVE  SAN BRUNO, CA 94066-4405 US
Tel: 650-296-7251  Fax: --

Registration Information:
NPI: 1720579626
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
101YA0400XCA05




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