De Santiago, Jessica Lara
De Santiago, Jessica Lara is an sole proprietor health care provider with primary practice located at 16465 Sierra Lakes Pkwy Ste 140 , Fontana CA 92336-1242. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. De Santiago, Jessica Lara can be contacted via phone (909) 244-9593.Contact Information
Primary practice address
16465 Sierra Lakes Pkwy Ste 140
Fontana CA 92336-1242
Phone: (909) 244-9593
Fax: (833) 903-0337
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor | 225C00000X | ||
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | California |
Profile Details
NPI number | 1750717880 |
---|---|
LBN Legal business name | De Santiago, Jessica Lara |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 20th, 2013 |
Last updated | May 7th, 2024 - about 7 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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