Provider Demographics
NPI:1851943906
Name:TAYLOR VARA, JESSICA (LMFT)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:TAYLOR VARA
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:CARRER DEL MUSIC JOSE ITURBI, 4, 1, 2
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:VALENCIA
Mailing Address - Zip Code:46003
Mailing Address - Country:ES
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CARRER DEL MUSIC JOSE ITURBI, 4, 1, 2
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:VALENCIA
Practice Address - Zip Code:46003
Practice Address - Country:ES
Practice Address - Phone:424-571-2616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-09
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTPMF387101YM0800X
CALMFT124572101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AMFT112566OtherMENTAL HEALTH THERAPIST