Individual provider · Type 1 NPI

Jailene Stacey Mazariegos

Marriage & Family Therapist · San Fernando, CA

NPI number 1487323390 Active

Practice location

330 N Maclay Ave Ste 206
San Fernando, CA 91340-2955

Mailing address

6707 Costello Ave
Van Nuys, CA 91405-4827

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 1487323390

Jailene Stacey Mazariegos's National Provider Identifier is 1487323390, issued on Sep 13, 2021. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Fernando, CA. The record was last updated on Sep 13, 2021.