Provider Demographics
NPI:1215405642
Name:MORRISON, JESSIKA LYNN (LMFT)
Entity Type:Individual
Prefix:
First Name:JESSIKA
Middle Name:LYNN
Last Name:MORRISON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5919 SARAH CT
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-5554
Mailing Address - Country:US
Mailing Address - Phone:916-382-2606
Mailing Address - Fax:
Practice Address - Street 1:5919 SARAH CT
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-5554
Practice Address - Country:US
Practice Address - Phone:916-382-2606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-03
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA123812101YM0800X
CA110109106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health