Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jr'S Trauma Care Initiative

Organization Mental Health Counselor · NPI 1205401593

Jr'S Trauma Care Initiative is a Mental Health Counselor in San Ysidro, California. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
5

Practice location Address checks out

1665 Precision Park Ln Ste H
San Ysidro, CA 92173-1348
Phone: (619) 330-7569
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Mental Health Counselor Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X
Marriage & Family Therapist Taxonomy 106H00000X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1205401593
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Walker — Director Of Mental Health · (619) 330-7569
NPI enumeratedMay 20, 2021
Last updated in NPPESMay 20, 2021
Certification dateMay 20, 2021
Mailing address654 E San Ysidro Blvd Unit 483, San Ysidro, CA 92173-3151

Other providers in San Ysidro