| Jessica De La Rosa Licensed Clinical Social Worker, Inc. | |
|
104 E Olive Ave Ste 201 Redlands CA 92373-5255 | |
| (909) 378-9432 | |
| Not Available |
| Full Name | Jessica De La Rosa Licensed Clinical Social Worker, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 104 E Olive Ave Ste 201, Redlands, California |
| Authorized Official Name and Position | Jessica De La Rosa (LCSW) |
| Authorized Official Contact | 9093789432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica De La Rosa Licensed Clinical Social Worker, Inc. 104 E Olive Ave Ste 201 Redlands CA 92373-5255 Ph: (909) 378-9432 | Jessica De La Rosa Licensed Clinical Social Worker, Inc. 104 E Olive Ave Ste 201 Redlands CA 92373-5255 Ph: (909) 378-9432 |
| NPI Number | 1871373712 |
|---|---|
| Provider Enumeration Date | 09/28/2023 |
| Last Update Date | 09/28/2023 |
| Certification Date | 09/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871373712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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