Provider Demographics
NPI:1992937478
Name:NUNEZ, JESSICA ESTELLINA (LCSW, MPH)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:ESTELLINA
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:LCSW, MPH
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:ESTELLINA
Other - Last Name:COLON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2251 W ROSECRANS AVE STE 18-21
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90222-3858
Mailing Address - Country:US
Mailing Address - Phone:424-338-8568
Mailing Address - Fax:
Practice Address - Street 1:1680 E 120TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90059-3026
Practice Address - Country:US
Practice Address - Phone:424-338-8568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-17
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW650271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical