JACQUELAN ADDESAN KING (NPI# 1821605379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821605379 |
| Entity Type | Individual |
| Full Name | JACQUELAN ADDESAN KING |
| Other Name | JACQUELAN ADDESAN VUJOVICH |
| Credential | LPC |
| Practice Address |
124 5th St Apt A Seal Beach CA 90740-8000 |
| Practice Telephone | 4065793777 |
| Mailing Telephone | 4065793777 |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
76272 | TX | Behavioral Health & Social Service Providers |
| Street Address |
124 5TH ST APT A |
| City | SEAL BEACH |
| State | CA |
| Zip Code | 90740-8000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013564608 | Betty Lou Halloran | Technician | 1320 Kenwood Rd 158g, Seal Beach, CA 90740 | 2019-08-20 |
| 1235794975 | Elizabeth Irene Williams | Behavior Technician | 30002 Dow Ave #122, Tustin, CA 90740 | 2019-05-08 |
| 1679994834 | Alexis Worth | Nurse Practitioner | 1305 Catalina Ave., Seal Beach, CA 90740 | 2013-12-13 |
| 1386074128 | Santa Ana Hospice Inc | Hospice Care, Community Based | 610 Pacific Coast Hwy Ste 211, Seal Beach, CA 90740 | 2013-11-14 |
| 1902242019 | Bernard Georges Gantes | Dentist | 2999 Westminster, Suite 108, Seal Beach, CA 90740 | 2013-05-15 |
| 1144592064 | Brooke Ashley Pancer | Dentist | 2999 Westminster Blvd Seal Beach Dental Implants, Seal Beach, CA 90740 | 2012-02-08 |
| 1003187808 | Justin Cheongsiatmoy | Psychiatry & Neurology | 1301 Kenwood Road, Suite 159b, Seal Beach, CA 90740 | 2012-01-25 |
| 1386912830 | A Peace of Mind Home Care LLC | In Home Supportive Care | 1050 Electric Ave, Suite 308-1, Seal Beach, CA 90740 | 2011-12-12 |
| 1770888430 | Kathleen Cleary Adamovic | Marriage & Family Therapist | 500 Pacific Coast Highway, Suite 214, Seal Beach, CA 90740 | 2011-01-11 |
| 1710218177 | Misty Oppenheim-leaf | Behavioral Analyst | 200 Marina Drive, Suite C, Seal Beach, CA 90740 | 2010-01-26 |
| Find all providers in zip 90740 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982781 | Doris J Dweh | Counselor | 12642 Memorial Way Apt 3100, Moreno Valley, CA 92553-7591 | 2020-11-05 |
| 1184225260 | Suzette Vega | Counselor | 10018 Downey Sanford Bridge Rd, Downey, CA 90240-3556 | 2020-11-04 |
| 1548860497 | Roger A Thrush | Counselor | 7777 Alvarado Rd Ste 257, La Mesa, CA 91942-8318 | 2020-10-29 |
| 1891395026 | Hayley Nasrallah | Counselor | 11712 Moorpark St Ste 101, Studio City, CA 91604-2155 | 2020-10-27 |
| 1831796978 | Geri Ann Delarosa | Counselor | 1521a Shattuck Ave, Berkeley, CA 94709-1516 | 2020-10-01 |
| 1659988822 | Katherine Beus Cusumano | Counselor | 11975 N Davis Rd, Lodi, CA 95242-9425 | 2020-09-30 |
| 1225645807 | Jordan Martin | Counselor | 4065 Glencoe Ave, Marina Del Rey, CA 90292-4600 | 2020-09-28 |
| 1972110807 | Stefany Jasmin Zacarias | Counselor | 809 S Marengo Ave, Pasadena, CA 91106-3607 | 2020-09-24 |
| 1619582558 | Vanessa Diaz Venegas | Counselor | 8554 Clarinda Ave, Pico Rivera, CA 90660-5701 | 2020-09-08 |
| 1538773825 | Tibor Deme | Counselor | 27502 Wellington Ct, Valencia, CA 91354-1822 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
| City | SEAL BEACH |
| Zip Code | 90740 |
Please comment or provide details below to improve the information on JACQUELAN ADDESAN KING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.