| J.e.m. Clinical Counseling, Llc | |
|
815 Mission Ave Ste 208 Oceanside CA 92054-2841 | |
| (760) 496-9600 | |
| (858) 408-6504 |
| Full Name | J.e.m. Clinical Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 815 Mission Ave Ste 208, Oceanside, California |
| Authorized Official Name and Position | Jennifer Mathis (CEO) |
| Authorized Official Contact | 7604969600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J.e.m. Clinical Counseling, Llc Po Box 664 Oceanside CA 92049-0664 Ph: (760) 496-9600 | J.e.m. Clinical Counseling, Llc 815 Mission Ave Ste 208 Oceanside CA 92054-2841 Ph: (760) 496-9600 |
| NPI Number | 1346766581 |
|---|---|
| Provider Enumeration Date | 08/18/2017 |
| Last Update Date | 04/20/2020 |
| Certification Date | 04/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346766581 | NPI | - | NPPES |
| 284999 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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