Doctor Name: | EVELINA JAIME |
NPI Number: | 1003062746 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCS13639 |
Business Practice Address: | 286 Euclid Ave Suite 102 San Diego, CA - 921143610 |
Business Phone Number: | 6192662111 |
Business Fax Number: | 6192660496 |
Mailing Address: | 286 Euclid Ave, Suite 102 SAN DIEGO |
State: | CA |
Postal Code: | 921143610 |
Phone Number: | 6192662111 |
Fax Number: | 6192660496 |
NPI Enumeration Date: | 08/13/2008 |
NPI Last Update Date: | 08/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS13639 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |