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MISS JACQUELINE FRANCES CRISOLOGO NPI 1598019796


NPI Information

NPI: 1598019796
Provider Name: MISS JACQUELINE FRANCES CRISOLOGO
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address:
4283 EL CAJON BLVD
SUITE 115
SAN DIEGO, CA
ZIP 92105
Phone: (619) 521-1743
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MISS Jacqueline Frances Crisologo is a marriage family therapist in San Diego, CA. The provider is 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 mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. MISS Jacqueline Frances Crisologo NPI is 1598019796. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4283 EL CAJON BLVD
SUITE 115
SAN DIEGO, CA
ZIP 92105-289
Phone: (619) 521-1743
Fax: (619) 521-1896

The enumeration date for this NPI number is 11/9/2012 and was last updated on 9/11/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family TherapistIMF81723CALIFORNIAYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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