Individual provider · Type 1 NPI

Jessica Davanzo, MFT, M.ED

Marriage & Family Therapist · San Diego, CA

NPI number 1316142805 Active

Practice location

11770 Bernardo Plaza Ct Ste 370
San Diego, CA 92128-2426

Fax (619) 528-4625

Mailing address

PO Box 609001
San Diego, CA 92160-9001

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XNone listed

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 1316142805

Jessica Davanzo, MFT, M.ED's National Provider Identifier is 1316142805, issued on Jun 15, 2007. 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 Nov 15, 2018.