Provider Demographics
NPI:1881044170
Name:CAVE, JESSICA L (CA AMFT, CA APCC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:L
Last Name:CAVE
Suffix:
Gender:F
Credentials:CA AMFT, CA APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CENTENO WAY
Mailing Address - Street 2:
Mailing Address - City:SANDIA PARK
Mailing Address - State:NM
Mailing Address - Zip Code:87047-9542
Mailing Address - Country:US
Mailing Address - Phone:901-483-6226
Mailing Address - Fax:
Practice Address - Street 1:1 CENTENO WAY
Practice Address - Street 2:
Practice Address - City:SANDIA PARK
Practice Address - State:NM
Practice Address - Zip Code:87047-9542
Practice Address - Country:US
Practice Address - Phone:901-483-6226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-16
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist