Provider Demographics
NPI:1023171469
Name:BABBITT PEARCE, JENICA
Entity type:Individual
Prefix:MRS
First Name:JENICA
Middle Name:
Last Name:BABBITT PEARCE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 3RD ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94124-2101
Mailing Address - Country:US
Mailing Address - Phone:415-648-5785
Mailing Address - Fax:415-695-9830
Practice Address - Street 1:4301 3RD ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94124-2101
Practice Address - Country:US
Practice Address - Phone:415-648-5785
Practice Address - Fax:415-695-9830
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW19013101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health