Provider Demographics
NPI:1710186788
Name:GUASPARI, JEANNE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:
Last Name:GUASPARI
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 1:395 TAYLOR BLVD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-2286
Mailing Address - Country:US
Mailing Address - Phone:925-609-6400
Mailing Address - Fax:925-609-6411
Practice Address - Street 1:395 TAYLOR BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-2286
Practice Address - Country:US
Practice Address - Phone:925-609-6400
Practice Address - Fax:925-609-6411
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-11
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC22230106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist