Provider Information for 1972992212
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
JESSICA SIN LMFT132686
Sex: Female
NPI: 1972992212
Last Updated: 2023-04-28
Certification Date: 2023-04-19
Certification Date: 2023-04-19
Details
| Name | Value | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1972992212 | ||||||||||||||||||||
| Enumeration Date | 2015-01-09 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | PO BOX 365 SAN MATEO, CA 94401-0365 United States Phone: | Fax: | ||||||||||||||||||||
| Primary Practice Address | 210 S ELLSWORTH #365 SAN MATEO, CA 94401 United States Phone: 415-483-9414 | Fax: | ||||||||||||||||||||
| Secondary Practice Address(es) | 319 S E ST | ||||||||||||||||||||
| Health Information Exchange |
| ||||||||||||||||||||
| Other Identifiers |
| ||||||||||||||||||||
| Taxonomy |
|