Individual
JESSICA MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
4348 54TH ST, SAN DIEGO, CA 92115-5300
(619) 286-0312
Mailing address
4348 54TH ST, SAN DIEGO, CA 92115-5300
(619) 286-0312
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
200239070
CA
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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