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Jacob Cepollina
Mental Health Counselor in San Diego, California
NPI 1215548086

Jacob Cepollina is a Mental Health Counselor based in San Diego, CA and is specialized in Mental Health. Jacob Cepollina practices in San Diego, CA. The NPI Number for Jacob Cepollina is 1215548086 and holds a License No. (California).

The current practice location address for Jacob Cepollina is 3420 Kenyon St, San Diego, CA and can be reached out via phone at 619-221-1443.

Location: 3420 Kenyon St, San Diego, CA, 92112-3815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215548086
Provider Name
Jacob Cepollina
Credential
Provider Entity Type
Individual
Gender
Male
Address
3420 Kenyon St, San Diego, CA, 92112-3815
Phone Number
619-221-1443
Fax Number
Provider Enumeration Date
08/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3420 Kenyon St
City
San Diego
State
California
Zip
92110-5001
Phone Number
619-221-1443
Fax Number
person
Provider Business Mailing Address Details
Address
3420 Kenyon St
City
San Diego
State
California
Zip
92110-5001
Phone Number
619-221-1443
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
112103 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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