Jessa Gagarin

NPI #1033720610 in Santa Clara, California

Provider Information

NPI Number: 1033720610
Entity Type: Individual
Name: Jessa Gagarin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Aug 16, 2020
Last Updated: Aug 16, 2020

Practice Location

Address: 3490 THE ALAMEDA
City: Santa Clara
State: California
ZIP Code: 95050-4333
Phone: (408) 243-0222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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