SHANNON YANDALL DEJESUS AMFT NPI 1770230237

NPI Information

NPI: 1770230237
Provider Name: SHANNON YANDALL DEJESUS, AMFT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1807 ROBINSON AVE
SAN DIEGO, CA
ZIP 92103
Phone: (619) 630-5557
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Shannon Yandall Dejesus, AMFT is a mental health counselor in San Diego, CA. Shannon Yandall Dejesus, AMFT NPI is 1770230237. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1807 ROBINSON AVE
SAN DIEGO, CA
ZIP 92103-633
Phone: (619) 630-5557

The enumeration date for this NPI number is 3/4/2022 and was last updated on 3/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	128629	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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