Provider Demographics
NPI:1275826935
Name:SERIO, JAMES PAUL (MA, MFT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:PAUL
Last Name:SERIO
Suffix:
Gender:M
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20370
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-0925
Mailing Address - Country:US
Mailing Address - Phone:619-249-3416
Mailing Address - Fax:619-442-1986
Practice Address - Street 1:4700 SPRING ST
Practice Address - Street 2:SUITE 306
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-0263
Practice Address - Country:US
Practice Address - Phone:619-249-3416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-27
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 49964106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist