JESSICA LYNN PORTS

CHULA VISTA, CA
NPI1154914315
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-02-18
Last Update Date2021-02-18
Business Address
JESSICA LYNN PORTS
1180 3RD AVE STE C3
CHULA VISTA, CA 91911-3139
Phone number: 619-691-8164
Mailing Address
JESSICA LYNN PORTS
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number:
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