JESSICA ROSE LEAVELL

SANTA ANA, CA
NPI1114678760
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1389630520)
Enumeration Date2022-01-14
Last Update Date2022-01-14
Business Address
JESSICA ROSE LEAVELL MA
2201 KILSON DR
SANTA ANA, CA 92707-2954
Phone number: 949-734-9616
Mailing Address
JESSICA ROSE LEAVELL MA
11541 NORGATE CIR
CORONA, CA 92878-9117
Phone number: 951-520-7291