Mrs. Jessica Nelson
Professional Counselor
1620 Cummins Dr
Modesto
, California 95358-6400
Mrs. Jessica Nelson
Professional Counselor
1620 Cummins Dr
Modesto
, California 95358-6400
(209) 872-8078
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Mrs. Jessica Nelson
- 4711 Crows Landing Rd
- Modesto, CA
- Zip : 95358-9487
- Phone : (209) 872-8078
Second Address
- Mrs. Jessica Nelson
- 1620 Cummins Dr
- Modesto, CA
- Zip : 95358-6400
- Phone : (209) 622-1420
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | ASW75435 | CA |
National Provider Identifier
| NPI | 1003351149 |
|---|---|
| Provider Name | Mrs. Jessica Nelson |
| First Address | Modesto, CA 95358-9487 |
| Second Address | Modesto, CA 95358-6400 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/12/2016 |
| Last Update Date | 17/01/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.