Provider Demographics
NPI:1538999586
Name:DISCOVER HEALING, PROFESSIONAL CLINICAL COUNSELOR, P.C.
Entity type:Organization
Organization Name:DISCOVER HEALING, PROFESSIONAL CLINICAL COUNSELOR, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CEO, LICENSED COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:NISHA
Authorized Official - Middle Name:KAGAL
Authorized Official - Last Name:JASTRZEMBSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC, LMHC
Authorized Official - Phone:617-356-7162
Mailing Address - Street 1:684 ROBERTSON WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95818-3650
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:684 ROBERTSON WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95818-3650
Practice Address - Country:US
Practice Address - Phone:617-356-7162
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty