Individual
JACLYN KATE BETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND, APCC
Contact information
Practice address
2515 CAMINO DEL RIO S STE 325, SAN DIEGO, CA 92108-3772
(858) 252-3001
Mailing address
2515 CAMINO DEL RIO S STE 325, SAN DIEGO, CA 92108-3772
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APCC17600
CA
101YP2500X
Professional Counselor
Primary
APCC17600
CA
106H00000X
Marriage & Family Therapist
APCC17600
CA
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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