Jacob Cepollina
Jacob Cepollina is a Peer Specialist in San Diego, California. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
- Specialties on file
- 3
Practice location Address checks out
3420 Kenyon StSan Diego, CA 92110-5001
Phone: (619) 221-1443
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 112103 (CA) |
|---|---|
| Peer Specialist | Taxonomy 175T00000X |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1215548086 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 13, 2020 |
| Last updated in NPPES | July 4, 2023 |
| Certification date | July 4, 2023 |
| Mailing address | Po Box 12815, San Diego, CA 92112-3815 |
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