Individual
DR. JESSICA MARIE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2100 PALOMAR AIRPORT RD STE 214-16, CARLSBAD, CA 92011-4402
(877) 815-8845
(833) 282-1430
Mailing address
2100 PALOMAR AIRPORT RD STE 214-16, CARLSBAD, CA 92011-4402
(877) 815-8845
(833) 282-1430
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY31442
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY31442
LICENSE
CA
Enumeration date
03/25/2007
Last updated
09/08/2022
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