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

Miss. Jessica Briana Sample

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1932758869

Miss. Jessica Briana Sample is an Addiction (Substance Use Disorder) Counselor in Pomona, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
Specialties on file
3

Practice location Address checks out

1050 N Garey Ave
Pomona, CA 91767-3802
Phone: (909) 623-6391
Fax: (909) 620-9491
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 19-155 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 19-155 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1932758869
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 4, 2019
Last updated in NPPESJanuary 13, 2022
Certification dateJanuary 13, 2022

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