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

Jamie Southerland

Individual provider Counselor · NPI 1629784236

Jamie Southerland is a Counselor in San Leandro, California. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4
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Practice location Address checks out

777 Davis St
San Leandro, CA 94577-6923
Phone: (414) 656-0116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1629784236
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 26, 2023
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025

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