Rodriguez Cruz, Jessica Nicole

Rodriguez Cruz, Jessica Nicole is an individual health care provider with primary practice located at 8337 Telegraph Rd Ste 300 , Pico Rivera CA 90660-4957. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Rodriguez Cruz, Jessica Nicole can be contacted via phone (562) 865-3644.

Contact Information

Primary practice address
8337 Telegraph Rd Ste 300 Pico Rivera CA 90660-4957
Phone: (562) 865-3644
Fax: (562) 246-5704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ASW76862 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCSW114622 California
Behavioral Health & Social Service Providers / School 1041S0200X
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW114622 California

Profile Details

NPI number 1780928424
LBN Legal business name Rodriguez Cruz, Jessica Nicole
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2012
Last updated Apr 17th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1780928424 NPPES
California Other ASW76862 ASW
California Other LCSW114622 ASW

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