Individual
DR. JESSICA HERBOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1044 SIR FRANCIS DRAKE BLVD STE 7, KENTFIELD, CA 94904-1454
(415) 441-6810
Mailing address
1044 SIR FRANCIS DRAKE BLVD STE 7, KENTFIELD, CA 94904-1454
(415) 441-6810
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
18505
CA
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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