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JESSICA YVETTE ARTILES
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1720579626
Individual Registrant: JESSICA YVETTE ARTILES
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
439 MILTON AVE SAN BRUNO, CA 94066-4405 US
Tel: 650-296-7251 Fax: --
Tel: 650-296-7251 Fax: --
Contact information for business:
439 MILTON AVE SAN BRUNO, CA 94066-4405 US
Tel: 650-296-7251 Fax: --
Tel: 650-296-7251 Fax: --
Registration Information:
NPI: 1720579626
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 101YA0400X | CA | 05 |
