Provider Demographics
NPI:1003953886
Name:JAUREGUI, CYNTHIA JEANEEN (MFT)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:JEANEEN
Last Name:JAUREGUI
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:JEANEEN
Other - Last Name:GUTIERREZ PREECE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:270 E DOUGLAS AVE
Mailing Address - Street 2:SUITE 110 E
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-4514
Mailing Address - Country:US
Mailing Address - Phone:619-261-6481
Mailing Address - Fax:
Practice Address - Street 1:5454 EL CAJON BLVD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92115-3621
Practice Address - Country:US
Practice Address - Phone:619-515-2400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46152106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist