Individual
ERICA DE JAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12625 HESPERIA RD, VICTORVILLE, CA 92395-7720
(760) 995-8300
Mailing address
12625 HESPERIA RD, VICTORVILLE, CA 92395-7720
(760) 995-8300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
CA
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
04/17/2025
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