Provider Demographics
NPI:1538949649
Name:BELSER CAMPOS, JESSICA A (CBHCMS)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:A
Last Name:BELSER CAMPOS
Suffix:
Gender:
Credentials:CBHCMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 NW 109TH AVE APT 103
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-5258
Mailing Address - Country:US
Mailing Address - Phone:954-451-8446
Mailing Address - Fax:
Practice Address - Street 1:260 NW 109TH AVE APT 103
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-5258
Practice Address - Country:US
Practice Address - Phone:954-451-8446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-05
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker