Individual provider · Type 1 NPI

Jefferson Tucker Edmonds, MFT

Marriage & Family Therapist · San Diego, CA

NPI number 1205900032 Active

Practice location

9620 Chesapeake Dr, Ste. 206
San Diego, CA 92123-1369

Fax (619) 814-6591

Mailing address

PO Box 609001
San Diego, CA 92160-9001

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XLMFT36498 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1205900032

Jefferson Tucker Edmonds, MFT's National Provider Identifier is 1205900032, issued on Nov 20, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Diego, CA. The record was last updated on Dec 3, 2015.