Jimesha Wagoner Valid NPI

Individual provider · Social Worker · Los Angeles, CA

NPI

1023837333

Type

Individual (Type 1)

Primary specialty

Social Worker

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

104100000X

License number

131874 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2024-10-04

Last updated

2025-07-16