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Jessica Dacquigan
Mental Health Counselor in Santa Cruz, California
NPI 1649811480

Jessica Dacquigan is a Mental Health Counselor based in Santa Cruz, CA and is specialized in Mental Health. Jessica Dacquigan practices in Santa Cruz, CA. The NPI Number for Jessica Dacquigan is 1649811480 and holds a License No. (California).

The current practice location address for Jessica Dacquigan is 303 Potrero St Ste 42-103, Santa Cruz, CA and can be reached out via phone at 831-466-9307 and via fax at 831-466-9748.

Location: 303 Potrero St Ste 42-103, Santa Cruz, CA, 95060-2779
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649811480
Provider Name
Jessica Dacquigan
Credential
Provider Entity Type
Individual
Gender
Female
Address
303 Potrero St Ste 42-103, Santa Cruz, CA, 95060-2779
Phone Number
831-466-9307
Fax Number
831-466-9748
Provider Enumeration Date
10/02/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
44AV 05 CA
institution
Provider Business Practice Location Address Details
Address
303 Potrero St Ste 42-103
City
Santa Cruz
State
California
Zip
95060-2779
Phone Number
831-466-9307
Fax Number
831-466-9748
person
Provider Business Mailing Address Details
Address
303 Potrero St Ste 42-103
City
Santa Cruz
State
California
Zip
95060-2779
Phone Number
831-466-9307
Fax Number
831-466-9748
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
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