Individual
JAMIELYN VERDEJO BASILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1963 4TH AVE, SAN DIEGO, CA 92101-2394
(619) 233-3432
Mailing address
1963 4TH AVE, SAN DIEGO, CA 92101-2394
(619) 233-3432
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC20751
CA
Other
Enumeration date
09/07/2021
Last updated
10/01/2025
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