De La Rosa, Jessica

De La Rosa, Jessica is an sole proprietor health care provider with primary practice located at 1710 Barton Rd , Redlands CA 92373-5304. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. De La Rosa, Jessica can be contacted via phone (909) 558-9275.

Contact Information

Primary practice address
1710 Barton Rd Redlands CA 92373-5304
Phone: (909) 558-9275
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW90858 California

Profile Details

NPI number 1477969079
LBN Legal business name De La Rosa, Jessica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2014
Last updated Oct 14th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477969079 NPPES
California Other 85-1546153 DE LA ROSA COUNSELING SERVICES

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