Jessica Adesuwa Agbonkpolo, MS, LCSW Valid NPI

Individual provider · Mental Health Counselor · San Bernardino, CA

NPI

1508609850

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

License number

111363 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2024-06-14

Last updated

2024-06-14