Thivierge, Jessica Leigh

Thivierge, Jessica Leigh is an individual health care provider with primary practice located at 1501 5Th Ave , San Diego CA 92101-3291. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Thivierge, Jessica Leigh can be contacted via phone (619) 306-3225.

Contact Information

Primary practice address
1501 5Th Ave San Diego CA 92101-3291
Phone: (619) 306-3225
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X PSB94021710 California

Profile Details

NPI number 1225297609
LBN Legal business name Thivierge, Jessica Leigh
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2008
Last updated Feb 26th, 2016 - about 8 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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