Individual
JESSICA PERALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 W FLORA ST, STOCKTON, CA 95202-1636
(925) 495-9898
Mailing address
130 W FLORA ST, STOCKTON, CA 95202-1636
(925) 495-9898
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
22179
CA
101YP2500X
Professional Counselor
APCC12778
CA
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
APCC12778
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APCC12778
BOARD OF BEHAVIORAL SCIENCE
CA
Enumeration date
11/26/2018
Last updated
03/31/2026
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