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Individual
JESSICA DE LA ROSA
Active
Individual
JESSICA DE LA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
LCSW90858
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85-1546153
DE LA ROSA COUNSELING SERVICES
CA
Enumeration date
07/03/2014
Last updated
10/14/2020
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