Individual
JORGE LORENZO JAUREGUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 ELM AVE, IMPERIAL BEACH, CA 91932-2029
(619) 628-1600
Mailing address
601 ELM AVE, IMPERIAL BEACH, CA 91932-2029
(619) 628-1600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
05/21/2025
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