Individual provider · Type 1 NPI

Jessica Kiesendahl, MFT

Marriage & Family Therapist · San Dimas, CA

NPI number 1790817682 Active

Practice location

762 W Cypress Ave
San Dimas, CA 91773-3505

Fax (909) 599-4157

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Marriage & Family Therapist Primary 106H00000X80216 (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 1790817682

Jessica Kiesendahl, MFT's National Provider Identifier is 1790817682, issued on Mar 9, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Dimas, CA. The record was last updated on Dec 9, 2024.