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

Jimmy Henry Faddis I

Individual provider Counselor · NPI 1922660695

Jimmy Henry Faddis I is a Counselor in Chula Vista, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

430 F St
Chula Vista, CA 91910-3711
Phone: (619) 420-3620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)
Counselor Taxonomy 101Y00000X

Record details

NPI number1922660695
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 2, 2019
Last updated in NPPESJuly 11, 2019

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