Agbonkpolo, Jessica Adesuwa

Agbonkpolo, Jessica Adesuwa is an sole proprietor health care provider with primary practice located at 255 N D St Ste 400 , San Bernardino CA 92401-1715. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Agbonkpolo, Jessica Adesuwa can be contacted via phone (909) 567-2808.

Contact Information

Primary practice address
255 N D St Ste 400 San Bernardino CA 92401-1715
Phone: (909) 567-2808
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 111363 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 111363 California

Profile Details

NPI number 1508609850
LBN Legal business name Agbonkpolo, Jessica Adesuwa
Credentials MS, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2024
Last updated Jun 14th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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