Jessica Anderson, MS, LMFT

Individual provider Active NPI Marriage & Family Therapist · Westlake Village, CA

NPI 1154869238 · NPPES record last updated Feb 8, 2017

Key facts

NPI
1154869238
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
94550 (CA)
Practice address
650 Hampshire Rd
Westlake Village, CA 91361-2510
Phone
(805) 497-0605
NPI assigned
Feb 8, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
94550CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 94550 CA Yes

Addresses

Primary practice location

650 Hampshire Rd
Westlake Village, CA 91361-2510

Mailing address

650 Hampshire Rd
Westlake Village, CA 91361-2510

Other identifiers

IdentifierTypeStateIssuer
94550OtherCALMFT

Other providers in Westlake Village, CA

All providers in Westlake Village, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.