Provider Demographics
NPI:1164440715
Name:JESFEN, ESTHER (MA)
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:
Last Name:JESFEN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 E WHITECAP AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92865-1835
Mailing Address - Country:US
Mailing Address - Phone:714-254-8473
Mailing Address - Fax:714-254-8480
Practice Address - Street 1:217 W CERRITOS AVE BLDG 8
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-6549
Practice Address - Country:US
Practice Address - Phone:714-254-8473
Practice Address - Fax:714-254-8480
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist