Provider Demographics
NPI:1255168001
Name:VEIT, JESSICA M (APCC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:M
Last Name:VEIT
Suffix:
Gender:F
Credentials:APCC
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:M
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APCC
Mailing Address - Street 1:8730 STRANG LN
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91701-1438
Mailing Address - Country:US
Mailing Address - Phone:909-234-9344
Mailing Address - Fax:
Practice Address - Street 1:231 N EUCLID AVE
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-6038
Practice Address - Country:US
Practice Address - Phone:909-815-9841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15339101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health