Cepollina, Jacob

Cepollina, Jacob is an individual health care provider with primary practice located at 3420 Kenyon St , San Diego CA 92110-5001. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Cepollina, Jacob can be contacted via phone (619) 221-1443.

Contact Information

Primary practice address
3420 Kenyon St San Diego CA 92110-5001
Phone: (619) 221-1443
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 112103 California

Profile Details

NPI number 1215548086
LBN Legal business name Cepollina, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2020
Last updated Jul 4th, 2023 - about 2 years 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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