Jessica O Yang

Individual provider Active NPI Counselor · San Francisco, CA

NPI 1104459858 · NPPES record last updated Feb 20, 2020

Key facts

NPI
1104459858
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
Practice address
887 Potrero Ave
San Francisco, CA 94110-2869
Phone
(628) 206-2855
Fax
(628) 206-3986
NPI assigned
Feb 20, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Yes

Addresses

Primary practice location

887 Potrero Ave
San Francisco, CA 94110-2869

Mailing address

887 Potrero Ave
San Francisco, CA 94110-2869
Phone (628) 206-2855

Other providers in San Francisco, CA

All providers in San Francisco, CA · Counselor in California

Sources for this page

Verify at the official NPI Registry.