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

Jaclyn Cornejo, 89928IMF

Individual provider Mental Health Counselor · NPI 1053773960

Jaclyn Cornejo, 89928IMF is a Mental Health Counselor in San Diego, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

3340 Kemper St Ste 105
San Diego, CA 92110-4906
Phone: (619) 523-8121
Fax: (619) 523-8742
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 89928 (CA)

Record details

NPI number1053773960
Entity typeIndividual (Type 1)
GenderFemale
Credentials 89928IMF
Sole proprietorNo
NPI enumeratedMarch 22, 2016
Last updated in NPPESMarch 22, 2016

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