Jessica Agbonkpolo, MS, LCSW

NPI 1508609850 · on the registry since 2024 · sole proprietor

Practice

Address: 255 N D St Ste 400
San Bernardino, CA 92401
Phone: (909) 567-2808
Organisation at this address: Walden Environment
Garden Gate Hospice Inc
Eagles Wings Hospice, Llc
M And S Hospice Care Inc.
Blueberry Hill Hospice Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Also registered as: 1041C0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-06-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California