| Jessica Camez, | |
|
4740 Green River Rd Ste 206a, Corona, CA 92878-9434 | |
| (951) 212-3184 | |
| (909) 658-8989 |
| Full Name | Jessica Camez |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 4740 Green River Rd Ste 206a, Corona, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770096323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4531 (California) | Secondary |
| 101YP2500X | Counselor - Professional | 10095 (California) | Primary |
| Entity Name | Jessica Perez Licensed Professional Clinical Counselor Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194488866 PECOS PAC ID: 1355879875 Enrollment ID: O20250113000861 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Camez, 4740 Green River Rd Ste 206a, Corona, CA 92878-9434 Ph: (951) 212-3184 | Jessica Camez, 4740 Green River Rd Ste 206a, Corona, CA 92878-9434 Ph: (951) 212-3184 |
Jesse James Tinoco, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 S Main St Ste 201, Corona, CA 92882 Phone: 951-279-3222 |
Mr. Glenn Patrick Tajalle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 161 Exeter Way, Corona, CA 92882 Phone: 714-675-9089 |
Ms. Liliana Yiram Izquierdo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3211 S Main St, Corona, CA 92882 Phone: 951-310-3947 |
Cynthia Lemus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 S Main St Ste 201, Corona, CA 92882 Phone: 951-609-5128 |
Ms. Andrea Jean Mastrianni-mounts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 760 Avenida Del Vista, Apt A, Corona, CA 92882 Phone: 310-500-6247 |
Lamont Raynard Williams, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1119 Stone Pine Ln Unit D, Corona, CA 92879 Phone: 916-696-1616 |
Mr. David Ramon Zermeno, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 S Main St, Suite # 201, Corona, CA 92882 Phone: 951-264-8754 Fax: 951-279-8333 |