Individual provider · Type 1 NPI

Jessica Ticas Desta, LCSW

Mental Health Counselor · Pasadena, CA

NPI number 1831702661 Active

Practice location

393 E Walnut St
Pasadena, CA 91188-0001

Mailing address

18751 Copper Ridge Way
Santa Clarita, CA 91351-3470

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800XLCSW138913 (CA)

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About NPI 1831702661

Jessica Ticas Desta, LCSW's National Provider Identifier is 1831702661, issued on Aug 31, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pasadena, CA. The record was last updated on Sep 2, 2026.