Provider Demographics
NPI:1689707416
Name:HUGHES, JAYDEE TUMAMBING (L M F T)
Entity Type:Individual
Prefix:
First Name:JAYDEE
Middle Name:TUMAMBING
Last Name:HUGHES
Suffix:
Gender:F
Credentials:L M F T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 W FOOTHILL BLVD UNIT A
Mailing Address - Street 2:
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-1103
Mailing Address - Country:US
Mailing Address - Phone:951-295-7053
Mailing Address - Fax:
Practice Address - Street 1:150 W FOOTHILL BLVD UNIT A
Practice Address - Street 2:
Practice Address - City:SAN DIMAS
Practice Address - State:CA
Practice Address - Zip Code:91773-1103
Practice Address - Country:US
Practice Address - Phone:951-295-7053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC43060106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist