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Jimmy Henry Faddis I
Student in an Organized Health Care Education/Training Program in Chula Vista, California
NPI 1922660695

Jimmy Henry Faddis I is a Student in an Organized Health Care Education/Training Program based in Chula Vista, CA. Jimmy Henry Faddis I practices in Chula Vista, CA. The NPI Number for Jimmy Henry Faddis I is 1922660695 and holds a License No. (California).

The current practice location address for Jimmy Henry Faddis I is 430 F St, Chula Vista, CA and can be reached out via phone at 619-420-3620.

Location: 430 F St, Chula Vista, CA, 91910-3711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922660695
Provider Name
Jimmy Henry Faddis I
Credential
Provider Entity Type
Individual
Gender
Male
Address
430 F St, Chula Vista, CA, 91910-3711
Phone Number
619-420-3620
Fax Number
Provider Enumeration Date
07/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
430 F St
City
Chula Vista
State
California
Zip
91910-3711
Phone Number
619-420-3620
Fax Number
person
Provider Business Mailing Address Details
Address
430 F St
City
Chula Vista
State
California
Zip
91910-3711
Phone Number
619-420-3620
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
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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