Provider Demographics
NPI:1508081365
Name:NYE, JENESSA BLESSING (MFT, PSYD)
Entity Type:Individual
Prefix:DR
First Name:JENESSA
Middle Name:BLESSING
Last Name:NYE
Suffix:
Gender:F
Credentials:MFT, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 N FIR ST
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93001-2810
Mailing Address - Country:US
Mailing Address - Phone:805-672-0300
Mailing Address - Fax:
Practice Address - Street 1:8 N FIR ST
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93001-2810
Practice Address - Country:US
Practice Address - Phone:805-672-0300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 39200106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist