Provider Demographics
NPI:1639569296
Name:PEREZ, JESSICA ANDREA (LMFT)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:ANDREA
Last Name:PEREZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MISS
Other - First Name:JESSICA
Other - Middle Name:ANDREA
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17434 BELLFLOWER BLVD STE 200-289
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-6849
Mailing Address - Country:US
Mailing Address - Phone:562-613-9246
Mailing Address - Fax:
Practice Address - Street 1:17434 BELLFLOWER BLVD STE 200-289
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-6849
Practice Address - Country:US
Practice Address - Phone:562-613-9246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-03
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT110650106H00000X
CAIMF85100106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist