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Jessica Crystal Waterford, BA
Mental Health Counselor in San Jose, California
NPI 1801931076

Jessica Crystal Waterford is a Mental Health Counselor based in San Jose, CA and is specialized in Mental Health. Jessica Crystal Waterford practices in San Jose, CA and has the professional credentials of BA. The NPI Number for Jessica Crystal Waterford is 1801931076 and holds a License No. (California).

The current practice location address for Jessica Crystal Waterford is 1000 Blossom River Way Apt 533, San Jose, CA and can be reached out via phone at 408-518-9311.

Location: 1000 Blossom River Way Apt 533, San Jose, CA, 95123-6346
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801931076
Provider Name
Jessica Crystal Waterford
Credential
BA
Provider Entity Type
Individual
Gender
Female
Address
1000 Blossom River Way Apt 533, San Jose, CA, 95123-6346
Phone Number
408-518-9311
Fax Number
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1000 Blossom River Way Apt 533
City
San Jose
State
California
Zip
95123-6346
Phone Number
408-518-9311
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Blossom River Way Apt 533
City
San Jose
State
California
Zip
95123-6346
Phone Number
408-518-9311
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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