Individual
DR. JESSICA LEIGH THIVIERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1501 5TH AVE, SAN DIEGO, CA 92101-3291
(619) 306-3225
Mailing address
1501 5TH AVE, SAN DIEGO, CA 92101-3291
(619) 306-3225
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
PSB94021710
CA
Other
Enumeration date
06/02/2008
Last updated
02/26/2016
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