Provider Demographics
NPI:1851102297
Name:ESPINOZA, GRECY JENNIFER (PPSC)
Entity type:Individual
Prefix:MRS
First Name:GRECY
Middle Name:JENNIFER
Last Name:ESPINOZA
Suffix:
Gender:F
Credentials:PPSC
Other - Prefix:MS
Other - First Name:GRECY
Other - Middle Name:JENNIFER
Other - Last Name:PONCIANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:65850 PIERSON BLVD
Mailing Address - Street 2:
Mailing Address - City:DESERT HOT SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92240-3000
Mailing Address - Country:US
Mailing Address - Phone:760-288-7024
Mailing Address - Fax:
Practice Address - Street 1:65850 PIERSON BLVD
Practice Address - Street 2:
Practice Address - City:DESERT HOT SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92240-3000
Practice Address - Country:US
Practice Address - Phone:760-288-7024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool