Souza, Jessica

Souza, Jessica is an sole proprietor health care provider with primary practice located at 3270 Kerner Blvd Suite A, San Rafael CA 94901-4840. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Souza, Jessica can be contacted via phone (415) 457-6964.

Contact Information

Primary practice address
3270 Kerner Blvd Suite A San Rafael CA 94901-4840
Phone: (415) 457-6964
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1053716704
LBN Legal business name Souza, Jessica
Credentials ASW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2014
Last updated Aug 5th, 2024 - about 2 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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